Diabetic myonecrosis: An easily overlooked cause of limb pain in diabetic patients.

IF 1.2 4区 医学
Jennifer Wells, Stephen C Sorsby
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引用次数: 0

Abstract

Abstract: Diabetic myonecrosis (DMN) is an underdiagnosed cause of spontaneous extremity pain and swelling in patients with diabetes. Failure to consider this diagnosis in patients with recent onset of extremity pain may lead to inappropriate testing and to treatment that worsens symptoms and delays healing. The following is a case report of recurrent diabetic myonecrosis in a 36-year-old woman that highlights several typical features of this uncommon disorder. We discuss the differential diagnosis and how to rapidly identify DMN, as well as best practices for the treatment of the disorder. We approach most types of muscular pain issues with stretching and exercise, but this approach can result in increased pain and delayed resolution in patients with DMN. Nurse practitioners and other providers should consider DMN when faced with a patient with diabetes and spontaneous extremity pain and understand how to efficiently diagnose this disorder and rule out other causes.

糖尿病性肌坏死:糖尿病患者肢体疼痛的一个容易被忽视的原因。
摘要:糖尿病性肌坏死(DMN)是糖尿病患者自发四肢疼痛和肿胀的一个未被诊断的原因。在最近发作的四肢疼痛患者中,如果不考虑这一诊断,可能会导致不适当的测试和治疗,从而恶化症状并延迟愈合。以下是一例36岁女性复发性糖尿病性肌坏死的病例报告,强调了这种罕见疾病的几个典型特征。我们讨论了DMN的鉴别诊断和如何快速识别,以及治疗该疾病的最佳实践。我们通过拉伸和锻炼来解决大多数类型的肌肉疼痛问题,但这种方法可能会导致DMN患者疼痛加剧和缓解延迟。当面对糖尿病和自发性四肢疼痛的患者时,执业护士和其他提供者应该考虑DMN,并了解如何有效诊断这种疾病并排除其他原因。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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