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Diabetic Muscle Infarction: A Rare Cause of Acute Limb Pain in Dialysis Patients

التفاصيل البيبلوغرافية
العنوان: Diabetic Muscle Infarction: A Rare Cause of Acute Limb Pain in Dialysis Patients
المؤلفون: G. De Vlieger, B. Bammens, F. Claus, R. Vos, K. Claes
المصدر: Case Reports in Nephrology, Vol 2013 (2013)
بيانات النشر: Hindawi Limited, 2013.
سنة النشر: 2013
المجموعة: LCC:Diseases of the genitourinary system. Urology
مصطلحات موضوعية: Diseases of the genitourinary system. Urology, RC870-923
الوصف: Diabetic muscle infarction is a rare microangiopathic complication occurring in patients with advanced diabetes mellitus. Diabetic patients with chronic kidney disease stage Vd are prone to develop this complication. The presenting symptom is a localized painful swelling of the affected limb. Symptoms usually resolve spontaneously during the following weeks, but frequent relapse can occur and in some cases swelling may lead to compartment syndrome. Biochemical blood analyses show an elevated C-reactive protein, but creatine kinase is often normal. Diagnosis can be made on clinical presentation and imaging, with magnetic resonance imaging as the gold standard. Histology is often not contributive. Treatment consists of rest, analgesics, rigorous glycemic control and low-dose aspirin. Severe cases of compartment syndrome require fasciotomy. In the current paper, we present two diabetic patients with cystic fibrosis, who are treated with automated peritoneal dialysis and suffered from episodic lower limb infarction. We subsequently review 48 episodes of diabetic muscle infarction previously reported in the literature in patients with end-stage renal disease.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2090-6641
2090-665X
Relation: https://doaj.org/toc/2090-6641; https://doaj.org/toc/2090-665X
DOI: 10.1155/2013/931523
URL الوصول: https://doaj.org/article/d3b2e9e39c0e4d49910c8ed7c1be5326
رقم الأكسشن: edsdoj.3b2e9e39c0e4d49910c8ed7c1be5326
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20906641
2090665X
DOI:10.1155/2013/931523