Diabetic Muscle Infarction in a Chronic Stroke Patient: A Case Report.

, Yoon, Yong Soon; , Choi, Jyul Lee; , Yu, Ki Pi; , Kwak, Soo Hyun; , Kim, Jong Yun

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(6):771-776.

Yoon, Yong Soon , Choi, Jyul Lee , Yu, Ki Pi , Kwak, Soo Hyun , Kim, Jong Yun

Department of Rehabilitation Medicine, Presbyterian Medical Center, Joenju 560-750, Korea. hiiamjulie@naver.com

Abstract

Diabetic muscle infarction is a rare complication of diabetes and is characterized by acute or subacute onset of painful and non-pitting swelling of the thigh or the calf, and rarely in the upper limbs. Diabetic muscle infarction and cerebral vascular accidents ocurr in patients with advanced diabetic complications. Painful swelling of the extremities is very common manifestation in patients with hemiplegia. Thus, early correct diagnosis and differential diagnosis of the underlying causes of painful swelling of the extremities are very important in these patients. We report a case of diabetic muscle infarction in a patient with hemiplegia, and suggest that diabetic muscle infarction should be considered as a disease of differential diagnosis for acute pain and swelling on the extremity.

Key Words: Muscle infarction, Diabetes mellitus, Hemiplegia