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Case Reports

Diabetic myonecrosis: a diagnostic challenge in patients with long-standing diabetes

, MD & , MD
Article: 20494 | Received 24 Jan 2013, Accepted 07 Mar 2013, Published online: 16 Apr 2013

Figures & data

Fig. 1 T2-weighted cross-sectional MRI image of the left thigh showing edema and breakdown of muscle architecture.

Fig. 1 T2-weighted cross-sectional MRI image of the left thigh showing edema and breakdown of muscle architecture.

Fig. 2 T2-weighted coronal MRI image of the lower extremities showing edema and breakdown of muscle architecture of the left thigh.

Fig. 2 T2-weighted coronal MRI image of the lower extremities showing edema and breakdown of muscle architecture of the left thigh.

Fig. 3 Necrosis of individual muscle fibers (yellow arrow) with edema (blue arrow) in between fibers characteristic of diabetic myonecrosis.

Fig. 3 Necrosis of individual muscle fibers (yellow arrow) with edema (blue arrow) in between fibers characteristic of diabetic myonecrosis.

Fig. 4 Showing proliferative myositis with expanded myxoid connective tissue with inflammatory cells (yellow arrow). The appearance is also described as checkerboard appearance.

Fig. 4 Showing proliferative myositis with expanded myxoid connective tissue with inflammatory cells (yellow arrow). The appearance is also described as checkerboard appearance.

Fig. 5 Longitudinal sections showing loss of striation, in comparison to the normal appearance shown in the bottom right corner.

Fig. 5 Longitudinal sections showing loss of striation, in comparison to the normal appearance shown in the bottom right corner.