Presentation
Swelling and pain in medial aspect of right thigh for past 2 months. Poorly controlled DM with end-organ damage (nephropathy, retinopathy, and PVD).
Patient Data
Age: 60 years
Gender: Male
From the case:
Diabetic myonecrosis
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Knee radiographs unremarkable except for atherosclerosis.
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There is induration of the vastus medialis muscle with increased echogenicity and an abnormality in echotexture which most probably represents edema.
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Contrast material not injected due to chronic renal failure.
Right:
Case Discussion
Painful muscle swelling in a patient with poorly controlled diabetes mellitus should raise suspicion for diabetic myonecrosis.
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