Diabetic muscle infarction

Diabetic muscle infarction was first described in 1965 by Angervall and Stener and was termed tumoriform focal muscular degeneration. It is a rare, but an upcoming complication of diabetes seen in patients on longstanding insulin therapy. It is also seen on patients with multiple end-organ microvascular complications. Diabetic muscle infarction is a distinct entity with characteristic clinical and radiological findings, more common than has been previously recognized. The typical clinical presentation includes abrupt onset of thigh pain and nontraumatic swelling. Here, we report a case of thigh involvement in an insulin-dependant diabetic with typical radiological and pathological correlation.