초록
본 저자들은 입원하여 혈당을 엄격하게 조절함에도 불구하고 당뇨병성 근육 경색증이 재발한 젊은 MODY 환자를 경험하였고 치료로서 지지요법과 더불어 aspirin, pentoxyphyllin을 투여하여 호전을 보인 환자를 소개하였다. 당뇨병성 근육 경색증은 당뇨합병증 중에 드문 합병증이지만 최근 당뇨병 환자들이 증가하고 진행성 당뇨병 환자들이 늘어나는 추세에서 당뇨병성 근육 경색증 환자들 역시 발생률이 증가할 수 있겠다. 그러므로 저자들은 이 증례를 통해 당뇨병성 근육 경색증에 대한 특징과 소견들을 소개하고 이 질환의 조기 진단과 적절한 치료, 그리고 그와 연관된 또 다른 당뇨 합병증의 예방 및 치료의 중요성을 알리고자 한다.
Diabetic muscle infarction (DMI) is an uncommon complication in patients with diabetes and it tends to be underdiagnosed, or misdiagnosed, clinically. Recently, we experienced a case of recurrent diabetic muscle infarction that was unusual in that the patient was younger than other patients. The patient was a 21-year-old woman with a 9-year history of maturity-onset diabetes of the young (MODY) who was referred to our department complaining of pain and edema in her right thigh. Magnetic resonance imaging (MRI) showed an increased T2-weighted signal and edema in the affected muscle. The final diagnosis was DMI. However, when the patient had partially recovered and was receiving supportive care, she had a second attack on the other side of the same leg during her hospitalization, in spite of her blood glucose level being strictly controlled. We report the clinical characteristics and imaging findings of this patient with recurrent DMI.