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IMAGES IN RHEUMATOLOGY
Year : 2013  |  Volume : 8  |  Issue : 4  |  Page : 190-191

A rare cause of focal myopathy in diabetes


1 Department of Clinical Immunology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow 226014, India
2 Department of Radiodiagnosis, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow 226014, India

Correspondence Address:
Ranjan Gupta
Department of Clinical Immunology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow 226014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.injr.2013.10.004

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Diabetic myonecrosis is a rare and under diagnosed complication of long standing dia- betes. Its diagnosis requires high index of suspicion because the clinical features mimic with those of pyomyositis, deep vein thrombosis and muscle hematoma. MR imaging is the cornerstone for diagnosis of the condition and treatment is mainly conservative by giving rest to the affected limb and NSAIDs. We report a case of diabetic patient who developed this condition twice and was managed successfully both the times with analgesics alone because of timely diagnosis based on characteristic MRI findings.


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