PT  - JOURNAL ARTICLE
AU  - Benjamin T Kopp
AU  - Stephen Kirkby
AU  - Don Hayes, Jr
AU  - Kevin M Flanigan
TI  - Diabetic Myonecrosis in a Cystic Fibrosis Patient
AID  - 10.4187/respcare.02299
DP  - 2013 Oct 01
TA  - Respiratory Care
PG  - e123--e125
VI  - 58
IP  - 10
4099  - http://rc.rcjournal.com/content/58/10/e123.short
4100  - http://rc.rcjournal.com/content/58/10/e123.full
AB  - Cystic fibrosis (CF) related diabetes is an increasingly common comorbidity in CF patients, with scarce data on end-stage complications in the CF population. We report the case of a 32-year-old with poorly controlled diabetes presenting with sub-acute leg pain and focal quadriceps tenderness. Neuromuscular testing and extensive workup revealed diabetic myonecrosis. To our knowledge, this is the first reported case of diabetic myonecrosis in a patient with CF, and highlights the need for pulmonary physicians to recognize this diabetic complication in CF patients, which is associated with a poor long-term prognosis and existing microvascular complications.