糖尿病肌坏死:一名长期患有 1 型糖尿病的土著年轻女性的衰弱并发症。

IF 0.9 Q4 ENDOCRINOLOGY & METABOLISM
Case Reports in Endocrinology Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI:10.1155/2024/8839798
Jinwen He, Liyan Wang, Thomas Robertson, Swetha Rangaswamaiah, Usman H Malabu
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引用次数: 0

摘要

一名 24 岁的澳大利亚土著女性患有长期控制不佳的 1 型糖尿病(T1DM),3 个月前出现单侧大腿肿胀和疼痛。她的实验室检查显示存在持续的炎症状态,肌酸激酶正常。感染和自身免疫检查结果均为阴性。影像学检查显示肌肉水肿和萎缩。肌肉疼痛和肿胀的鉴别诊断范围很广。本病例强调了糖尿病的一种罕见但可能使人衰弱的并发症--糖尿病性肌坏死,由于症状和实验室检查结果不具特异性,因此很难做出明确诊断。然而,这是一个需要考虑的腿部疼痛和肿胀的重要鉴别诊断,尤其是对于那些长期患有糖尿病并已存在微血管并发症的患者。控制血糖对于预防这种潜在的严重糖尿病并发症至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetes Myonecrosis: A Debilitating Complication in an Indigenous Young Woman With Long Standing Type 1 Diabetes Mellitus.

A 24-year-old Indigenous Australian female with long-standing, poorly controlled type 1 diabetes mellitus (T1DM) presented with 3 months' history of unilateral thigh swelling and pain. Her laboratory investigations showed evidence of a persistent inflammatory state with normal creatine kinase. Infectious and autoimmune investigations were negative. Imaging demonstrated evidence of muscular oedema and atrophy. Muscular pain and swelling have a broad list of differential diagnoses. This case highlights a rare but potentially debilitating complication of diabetes mellitus-diabetic myonecrosis with its challenges in reaching a definitive diagnosis due to non-specific symptomology and laboratory findings. However, it is an important differential of leg pain and swelling to consider, particularly in those with long-standing diabetes and pre-existing microvascular complications. Glycaemic control is paramount in preventing this potentially severe diabetic complication.

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来源期刊
Case Reports in Endocrinology
Case Reports in Endocrinology ENDOCRINOLOGY & METABOLISM-
CiteScore
2.10
自引率
0.00%
发文量
45
审稿时长
13 weeks
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