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Case Report

Diabetic Muscle Infarction: A case report.

Lee, Kang Hee , Ahn, Sang Ho , Lee, Choong Ki , Lee, Hyoung Woo
Journal of the Korean Academy of Rehabilitation Medicine 1999;23(5):1052-1056.
1Department of Rehabilitation Medicine, Yeungnam University College of Medicine.
2Department of Internal Medicine, Yeungnam University College of Medicine.
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Diabetic muscle infarction (DMI) is an unusual neuromuscular complication of diabetes mellitus. It tends to occur in young, poorly controlled, insulin dependent diabetic patient with end-organ complication. We report a 24-year-old woman with diabetic muscle infarction in both lower extremities. DMI began with an abrupt onset of pain, tenderness, swelling and formation of a firm mass. MRI revealed an increase in the signal intensity on T2 weighted image and SPECT showed an increased uptake of Tc-99m-pyrophosphate (PYP) in affected muscles. We report this case with review of the literature.

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