Recurrent multifocal diabetic myonecrosis: a cause of severe extremity pain in a diabetic patient

Ann R Coll Surg Engl. 2013 Jan;95(1):e5-6. doi: 10.1308/003588413X13511609956651.


We detail the unusual occurrence of successive episodes of diabetic myonecrosis in both lower and upper limbs in a young woman with diabetic end organ dysfunction. We highlight the importance of recognising this as a differential diagnosis for acute limb pain in diabetic patients and advocate conservative measures for successful treatment and return to function.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 1 / complications*
  • Diabetic Nephropathies / complications*
  • Extremities
  • Female
  • Humans
  • Kidney Failure, Chronic / complications*
  • Magnetic Resonance Imaging
  • Muscle, Skeletal / pathology*
  • Musculoskeletal Pain / etiology*
  • Necrosis / complications
  • Recurrence
  • Thigh