Diabetic Myonecrosis: A Single-Center Experience

Abstract

Abstract Diabetic myonecrosis is an infrequent complication of long-standing, uncontrolled diabetes mellitus. It usually involves the muscles of the lower limbs presenting with acute onset pain and swelling. It is often seen in association with chronic kidney disease. We present a case series of seven episodes seen over 5-year duration. All these patients had a long duration of poorly controlled diabetes associated with other microvascular complications. They were treated conservatively with bed rest, analgesics, vasodilators, and aspirin. The diagnosis is often missed due to its uncommon presentation and a lack of awareness. The disease resolves spontaneously but with poor long-term prognosis.