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Correspondence |

Diabetic Muscle Infarction

Jennifer L. MacGregor, MD; Patrick Chan, BS; Paul I. Schneiderman, MD; Marc E. Grossman, MD
Arch Dermatol. 2007;143(11):1447-1462. doi:10.1001/archderm.143.11.1456.
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Extract

Diabetic muscle infarction (DMI) is a frequently misdiagnosed, rare event complicating poorly controlled diabetes. It typically presents with acute, unilateral pain and swelling of the leg. We report a patient diagnosed as having DMI by the dermatology consultation service after that service was called to evaluate for nephrogenic systemic fibrosis (NSF) in a patient with diabetic nephropathy undergoing hemodialysis.

Angervall  LStener  B Tumoriform focal muscular degeneration in two diabetic patients. Diabetologia 1965;1 (1) 39- 42
Link to Article[[XSLOpenURL/10.1007/BF01338714]]
Singer  SRosenberg  AE Case records of the Massachusetts General Hospital: weekly clinicopathologic exercises. N Engl J Med 1997;337 (12) 839- 845
PubMed Link to Article[[XSLOpenURL/10.1056/NEJM199710163371607]]
Kattapuram  TMSuri  RRosol  MS  et al.  Idiopathic and diabetic skeletal muscle necrosis: evaluation by magnetic resonance imaging. Skeletal Radiol 2005;34 (4) 203- 209
PubMed Link to Article[[XSLOpenURL/10.1007/s00256-004-0881-8]]
Levine  JMTaylor  RAElman  LB  et al.  Involvement of skeletal muscle in dialysis-associated systemic fibrosis. Muscle Nerve 2004;30 (5) 569- 577
PubMed Link to Article[[XSLOpenURL/10.1002/(ISSN)1097-4598]]
Fox  LPGeyer  ASGrossman  ME Pyomyositis. J Am Acad Dermatol 2004;51 (2) 308- 314
PubMed Link to Article[[XSLOpenURL/10.1016/j.jaad.2004.01.060]]
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Figure 1.

Medial left thigh with ill-defined subcutaneous masslike swelling (edges marked by arrows) and minimal overlying surface change.

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Figure 2.

Magnetic resonance image of left thigh demonstrating increased signal throughout the left adductor muscles with edema tracking between fascial planes and in the subcutaneous tissue.

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