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Preventing Morbidity by Avoiding Excisional Biopsy

Dean R. Keller, MD; Mark Erpelding, MD; Thomas Grist, MD

Arch Intern Med. 1997;157(14):1611-1612.

Abstract
Focal infarction of skeletal muscle is a complication of diabetes mellitus. In the appropriate clinical setting and with characteristic magnetic resonance imaging (MRI) findings, prompt diagnosis can prevent unnecessary morbidity by avoiding excisional biopsy. We report a case of diabetic muscular infarction presenting as a painful thigh mass and review diagnostic and management principles.

Author Affiliations
From the Section of General Internal Medicine, Departments of Medicine (Drs Keller and Erpelding) and Diagnostic Radiology (Dr Grist), University of Wisconsin Hospital and Clinics, Madison.

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