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Diabetic Muscle Infarction: A Rare Cause of Acute Limb Pain in Dialysis Patients
Diabetic Muscle Infarction: A Rare Cause of Acute Limb Pain in Dialysis Patients
- Source :
- Case Reports in Nephrology, Vol 2013 (2013), Case Reports in Nephrology
- Publication Year :
- 2013
- Publisher :
- Hindawi Limited, 2013.
-
Abstract
- Diabetic muscle infarction is a rare microangiopathic complication occurring in patients with advanced diabetes mellitus. Diabetic patients with chronic kidney disease stage Vd are prone to develop this complication. The presenting symptom is a localized painful swelling of the affected limb. Symptoms usually resolve spontaneously during the following weeks, but frequent relapse can occur and in some cases swelling may lead to compartment syndrome. Biochemical blood analyses show an elevated C-reactive protein, but creatine kinase is often normal. Diagnosis can be made on clinical presentation and imaging, with magnetic resonance imaging as the gold standard. Histology is often not contributive. Treatment consists of rest, analgesics, rigorous glycemic control and low-dose aspirin. Severe cases of compartment syndrome require fasciotomy. In the current paper, we present two diabetic patients with cystic fibrosis, who are treated with automated peritoneal dialysis and suffered from episodic lower limb infarction. We subsequently review 48 episodes of diabetic muscle infarction previously reported in the literature in patients with end-stage renal disease.
- Subjects :
- Aspirin
medicine.medical_specialty
biology
business.industry
medicine.medical_treatment
Infarction
Case Report
medicine.disease
lcsh:Diseases of the genitourinary system. Urology
lcsh:RC870-923
Cystic fibrosis
Fasciotomy
Surgery
Nephrology
Diabetes mellitus
medicine
biology.protein
Creatine kinase
business
Complication
Kidney disease
medicine.drug
Subjects
Details
- Language :
- English
- ISSN :
- 20906641
- Volume :
- 2013
- Database :
- OpenAIRE
- Journal :
- Case Reports in Nephrology
- Accession number :
- edsair.doi.dedup.....e122c62ef9db219a1a35caf087cfeabe