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반가영 외 중앙대학교 의과대학 의과학연구소 2011 中央醫大誌 Vol.36 No.3/4
Diabetic muscle infarction (DMI) is a rare complication that usually occurs in patients with longstanding microvascular complications of diabetes. The typical clinical presentation of DMI includes a sudden onset of pain, tenderness, and swelling of the lower limbs. DMI can be diagnosed by typical clinical manifestations and magnetic resonance imaging (MRI). Treatment usually includes immobilization of the affected extremity and taking analgesics. A 44 year-old woman with type 2 diabetes mellitus and Hashimoto's thyroiditis for 10 years, presented with an abrupt and spontaneous onset of severe pain in the left thigh. In order to evaluate the etiology, angio-computed tomography, bone scan, and MRI of the lower extremities were performed. DMI was diagnosed based on the hyper-intense T2 weighted signals on the MRI. The patient was fully recovered with the conservative treatment.