IMAGES IN RHEUMATOLOGY |
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Year : 2013 | Volume
: 8
| Issue : 4 | Page : 190-191 |
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A rare cause of focal myopathy in diabetes
Ranjan Gupta1, Namita Mohindra2, Vikas Agarwal1
1 Department of Clinical Immunology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow 226014, India 2 Department of Radiodiagnosis, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow 226014, India
Correspondence Address:
Ranjan Gupta Department of Clinical Immunology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow 226014 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.1016/j.injr.2013.10.004
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Diabetic myonecrosis is a rare and under diagnosed complication of long standing dia- betes. Its diagnosis requires high index of suspicion because the clinical features mimic with those of pyomyositis, deep vein thrombosis and muscle hematoma. MR imaging is the cornerstone for diagnosis of the condition and treatment is mainly conservative by giving rest to the affected limb and NSAIDs. We report a case of diabetic patient who developed this condition twice and was managed successfully both the times with analgesics alone because of timely diagnosis based on characteristic MRI findings.
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