Diabetic myonecrosis in a cystic fibrosis patient.
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.
['Kopp|Benjamin T|BT|', 'Kirkby|Stephen|S|', 'Hayes|Don|D|', 'Flanigan|Kevin M|KM|']
D000328:Adult D003550:Cystic Fibrosis D048909:Diabetes Complications D003937:Diagnosis, Differential D005260:Female D006801:Humans D008279:Magnetic Resonance Imaging D018482:Muscle, Skeletal D009135:Muscular Diseases D009336:Necrosis D013848:Thigh
myonecrosis cystic fibrosis leg pain microvascular diabetes mellitus