We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
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.
Text Size: A A A
Published online


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]]
Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Figure 1.

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

Graphic Jump Location
Place holder to copy figure label and caption
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.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetes, Foot Ulcer

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Diabetic Peripheral Neuropathy