Diabetic MyonecrosisRahman, Ifad MD; Narasimhan, Kanakasabai MD; Bair, Curtis MD; Phillips, James Williams MDAuthor Information From the Department of Medicine, University of South Carolina School of Medicine, Columbia, South Carolina. Reprints: Kanakasabai Narasimhan, MD, FACP, 2 Medical Park Drive, Suite 305, Columbia, South Carolina. E-mail: [email protected]edu. The Endocrinologist: July/August 2009 - Volume 19 - Issue 4 - pp 169-170 doi: 10.1097/TEN.0b013e3181aed846 Buy Metrics Abstract Diabetic muscle infarction (DMI) (also known as diabetic myonecrosis) is a rare complication of long-standing diabetes. It was first described in 1965, since then only a few cases have been reported in the literature. DMI has a characteristic clinical presentation and appearance on magnetic resonance imaging. Despite several hypotheses, the etiology of DMI has not been convincingly determined. We report on the case of a patient with diabetic myonecrosis. We remind clinicians of the importance of this often underdiagnosed/misdiagnosed condition and discuss the pathophysiology, diagnosis, management, and prognosis of this disabling condition. To our knowledge this is the second case of DMI concurrently involving peroneus longus and brevis muscle. © 2009 Lippincott Williams & Wilkins, Inc.