A case of diabetic muscle infarction in Japan

Diabet Med. 1998 Dec;15(12):1065-7. doi: 10.1002/(SICI)1096-9136(1998120)15:12<1065::AID-DIA708>3.0.CO;2-J.


Diabetic muscle infarction (DMI) is a rare complication of diabetes mellitus. We report the first recorded case in Japan. A 45-year-old Japanese woman presented with severe pain in the left antero-medial thigh. She had a 14-year history of Type 2 diabetes mellitus (DM). She had first noticed pain in her left thigh after a walk 2 weeks prior to presentation. The pain worsened progressively. She noticed a firm mass in her left thigh. T2-weighted magnetic resonance imaging (MRI) demonstrated a high-intensity signal in the muscle bulk of the anterior component of the left thigh. A needle biopsy of the mass showed necrosis. She was treated with bedrest and an antiplatelet agent. The mass disappeared 8 weeks after admission. DMI is a rare complication of poorly controlled diabetes mellitus. Twenty-seven cases with DMI have been reported in the English literature but we believe this is the first Japanese case with DMI.

Publication types

  • Case Reports

MeSH terms

  • Bed Rest
  • Biopsy
  • Diabetes Mellitus, Type 2 / complications*
  • Female
  • Humans
  • Infarction / diagnosis*
  • Infarction / physiopathology
  • Infarction / therapy
  • Japan
  • Magnetic Resonance Imaging
  • Middle Aged
  • Muscle, Skeletal / blood supply*
  • Muscle, Skeletal / pathology
  • Pain
  • Platelet Aggregation Inhibitors / therapeutic use


  • Platelet Aggregation Inhibitors