Abstract
Diabetic muscle infarction is a rare complication in patients with diabetes. We present the case of a 28-year-old woman with long-standing, poorly controlled type 1 diabetes who was admitted to the hospital 1 week after she developed acute bilateral thigh pain that did not resolve. Physical examination revealed tenderness and subcutaneous swelling in the thighs. Laboratory evaluation was notable for an elevated creatine kinase level and a mildly elevated white blood cell count. Magnetic resonance imaging revealed extensive changes in the thigh muscles consistent with diabetic muscle infarction. The patient had a long hospital course complicated by extension of the areas of infarction approximately 3 weeks after the initial onset of symptoms. The clinical and pathologic features of diabetic muscle infarction are discussed, along with management and prognosis.
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