Spontaneous Diabetic Myonecrosis
- Javier Reyes-Balaguer, MD1,
- Elena Solaz-Moreno, MD2,
- Carmen Morata-Aldea, PHD2 and
- Patricia Elorza-Montesinos, MD2
- 1Allergy Division, Hospital Universitario La Fe, Valencia, Spain
- 2Internal Medicine, Hospital Universitario La Fe, Valencia, Spain
- Address correspondence to Javier Reyes-Balaguer, MD, Hospital Universitario La Fe, Servicio de Alergia, Avenida Campanar 21, 46009 Valencia España. E-mail: galima{at}ono.com
Diabetic muscle infarction is an unusual complication of late-stage diabetes. The first case was reported in 1965 by Angervall and Stener (1). There have been <100 cases reported since then (4). Clinical presentation is an acute atraumatic painful swelling of the affected muscle and a palpable mass. Diabetic muscle infarction has predilection for the quadriceps and thigh muscles and is found in diabetic subjects with established nephropathy and retinopathy (2).
We report a case of spontaneous quadriceps necrosis in a type 2 diabetic patient on hemodialysis. A 59-year-old woman had a type 2 diabetes history of >20 years and unsatisfactory glycemic control despite insulin …
