A Case of Diabetic Muscle Infarction in a Maintenance Hemodialysis Patient / 대한신장학회잡지

ABSTRACT

Diabetic muscle infarction (DMI) is a rare complication of diabetes. Its clinical features are similar with infectious diseases. We report DMI in a 44-yr-old woman with a 18 year history of type 2 diabetes and a 4 year history of end-stage renal disease on hemodialysis. She was admitted for a 2 day history of severe pain and swelling in the right thigh. It developed spontaneously without trauma. Physical examination revealed tenderness on the right thigh and body temperature was normal. Peripheral pulses of right leg were good at the tibialis posterior and dorsalis pedis. There was no deep vein thrombosis in the lower limb on Doppler ultrasound. MRI showed a diffuse swelling and increased signal of quadriceps muscle group in T2 weighted images. She was diagnosed as having DMI and improved following conservative therapy. There was no recurrence during the follow up. DMI could be investigated by clinical findings and MRI imaging in diabetic patients on maintenance hemodialysis.