Elsevier

Neuromuscular Disorders

Volume 5, Issue 1, January 1995, Pages 39-45
Neuromuscular Disorders

Research paper
Diabetic muscle infarction: A new perspective on pathogenesis and management

https://doi.org/10.1016/0960-8966(94)E0027-6Get rights and content

Abstract

Two patients with insulin dependent diabetes mellitus developed recurrent episodes of focal muscle pain and swelling. Clinical evaluation, magnetic resonance imaging (MRI) and muscle biopsy confirmed the diagnosis of recurrent hemorrhagic muscle infarctions. Our studies suggest that muscle infarction occurred because of hypercoagulability and associated vascular endothelial damage. Based on these findings we recommend long-term anticoagulation to prevent recurrent infarction.

References (35)

  • A.L. Bloom

    Physiology of blood coagulation

    Haemostasis

    (1990)
  • J.A. Davies

    The pre-thrombosic state

    Clin Sci

    (1985)
  • R.C. Becker

    Seminars in thrombosis, thrombolysis, and vascular biology. Part 2: coagulation and thrombosis

    Cardiology

    (1991)
  • D.M. Stem et al.

    Endothelium and regulation of coagulation

    Diabetes Care

    (1991)
  • I. Ford et al.

    Activation of coagulation in diabetes mellitus in relation to the presence of vascular complications

    Diabetic Med

    (1991)
  • J.W.J. Van Wersch et al.

    Coagulation activation in diabetes mellitus

    Haemostasis

    (1990)
  • J.H. Fuller et al.

    Haemostatic variables associated with diabetes and its complications

    Br Med J

    (1979)
  • Cited by (0)

    View full text