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Case Reports in Endocrinology
Volume 2013, Article ID 190962, 4 pages
http://dx.doi.org/10.1155/2013/190962
Case Report

Diabetic Myonecrosis: An Atypical Presentation

1Department of Endocrinology, 4th Floor, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USA
2Internal Medicine Department, San Juan City Hospital, CMMS No. 79, P.O. Box 70344, San Juan, PR 00936-8344, USA

Received 27 March 2013; Accepted 22 May 2013

Academic Editors: J. P. Frindik and W. V. Moore

Copyright © 2013 José Hernán Martínez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diabetic myonecrosis is a frequently unrecognized complication of longstanding and poorly controlled diabetes mellitus. The clinical presentation is swelling, pain, and tenderness of the involved muscle, most commonly the thigh muscles. Management consists of conservative measures including analgesia and rest. Short-term prognosis is good, but long-term prognosis is poor with most patients dying within 5 years. Failure to properly identify this condition will expose the patient to aggressive measures that could result in increased morbidity. To our knowledge this is the first case reported in which there was involvement of multiple muscle groups including upper and lower limbs.