Diabetic muscle infarction: an unusual cause of acute limb swelling in patients on hemodialysis

Am J Kidney Dis. 2003 Jun;41(6):1322-6. doi: 10.1016/s0272-6386(03)00402-5.

Abstract

Acute muscle infarction in diabetic patients on dialysis has rarely been reported. We present a small case series of 4 patients with unusally "inflammatory" presentations that caused diagnostic challenges. Diabetic muscle infarction should be in the differential diagnosis of acutely swollen lower limbs in dialysis patients.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / adverse effects
  • Arteriosclerosis / complications
  • C-Reactive Protein / analysis
  • Calcinosis / complications
  • Cellulitis / diagnosis
  • Diabetes Complications*
  • Diabetic Angiopathies / complications
  • Diabetic Nephropathies / complications
  • Diagnosis, Differential
  • Diagnostic Errors
  • Edema / etiology*
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / pathology
  • Fever / etiology
  • Heparin / adverse effects
  • Humans
  • Infarction / diagnosis
  • Infarction / etiology*
  • Kidney Failure, Chronic / etiology
  • Kidney Failure, Chronic / therapy
  • Leg
  • Leukocytosis / etiology
  • Male
  • Middle Aged
  • Muscle, Skeletal / blood supply*
  • Renal Dialysis*
  • Thrombophlebitis / diagnosis
  • Ultrasonography

Substances

  • Anticoagulants
  • Heparin
  • C-Reactive Protein