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Recurrent Diabetic Muscle Infarction in A Patient on Maintenance Hemodialysis / 대한신장학회지
Korean Journal of Nephrology ; : 502-507, 2007.
Artículo en Coreano | WPRIM | ID: wpr-216421
ABSTRACT
Diabetic muscle infarction (DMI) is a rare complication that usually occurs in diabetic patients with advanced microvascular complication. DMI presents with abrupt or subacute onset of pain, tenderness and swelling of a localized muscle group in the lower extremities in most instances. It is usually improved by conservative management such as avoiding weight bearing or pain control, but recurs frequently in 50% of the patients. The diagnosis is based on magnetic resonance imaging (MRI), which is not specific but highly indicative. A forty-nine-years-old female on hemodialysis was admitted presenting with severe pain and swelling of right thigh. To evaluate the causes of leg swelling, angiography and MRI in both legs and muscle biopsy at right thigh were performed. There was no deep vein thrombosis and arteriosclerosis in the lower extremities on angiography. The patient was diagnosed to DMI by MRI. After conservative treatment such as administration of analgesics, anti-platelet agent and physical therapy, pain and swelling of thigh was diminished, but frequently recurred. We describe a case of recurrent diabetic muscle infarction in a patient with maintenance hemodialysis therapy.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Arteriosclerosis / Muslo / Biopsia / Imagen por Resonancia Magnética / Angiografía / Diálisis Renal / Soporte de Peso / Trombosis de la Vena / Extremidad Inferior / Diabetes Mellitus Tipo de estudio: Estudio diagnóstico Límite: Femenino / Humanos Idioma: Coreano Revista: Korean Journal of Nephrology Año: 2007 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Arteriosclerosis / Muslo / Biopsia / Imagen por Resonancia Magnética / Angiografía / Diálisis Renal / Soporte de Peso / Trombosis de la Vena / Extremidad Inferior / Diabetes Mellitus Tipo de estudio: Estudio diagnóstico Límite: Femenino / Humanos Idioma: Coreano Revista: Korean Journal of Nephrology Año: 2007 Tipo del documento: Artículo