• Respiratory care · Oct 2013

    Case Reports

    Diabetic myonecrosis in a cystic fibrosis patient.

    • Benjamin T Kopp, Stephen Kirkby, Don Hayes, and Kevin M Flanigan.
    • Section of Pediatric Pulmonology.
    • Respir Care. 2013 Oct 1; 58 (10): e123-5.

    AbstractCystic 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.

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