Rare Diseases Symptoms Automatic Extraction
Home
A random Abstract
Our Project
Our Team
Diabetic musculoskeletal complications and their imaging mimics.
[pyomyositis]
Diabetes
mellitus
is
increasingly
prevalent
and
results
in
various
clinically
important
musculoskeletal
disorders
affecting
the
limbs
,
feet
,
and
spine
as
well
as
in
widely
recognized
end-organ
complications
such
as
neuropathy
,
nephropathy
,
and
retinopathy
.
Diabetic
muscle
ischemia-a
self-
limited
disorder-may
be
confused
with
infectious
or
inflammatory
myositis
,
venous
thrombosis
,
or
compartment
syndrome
.
The
absence
of
fever
and
leukocytosis
,
combined
with
the
presence
of
bilaterally
distributed
lesions
in
multiple
and
often
noncontiguous
muscles
in
the
legs
,
including
the
thighs
,
is
suggestive
of
ischemia
;
by
contrast
,
the
presence
of
well-defined
intramuscular
abscesses
with
rimlike
enhancement
favors
a
diagnosis
of
infectious
pyomyositis
.
In
the
diabetic
foot
,
an
ulcer
,
sinus
tract
,
or
abscess
with
an
adjacent
region
of
abnormal
signal
intensity
in
bone
marrow
favors
the
diagnosis
of
pedal
osteomyelitis
over
that
of
neuropathic
arthropathy
.
Contrast
material-enhanced
magnetic
resonance
imaging
is
important
when
planning
the
treatment
of
foot
infections
in
diabetic
patients
because
it
allows
the
differentiation
of
viable
tissue
from
necrotic
regions
that
require
surgical
débridement
in
addition
to
antibiotic
therapy
.
Subtraction
images
are
particularly
useful
for
visualizing
nonviable
tissue
.
Dialysis-associated
spondyloarthropathy
characteristically
occurs
in
diabetic
patients
with
a
long
history
of
hemodialysis
.
Intervertebral
disk
space
narrowing
without
T
2
signal
hyperintensity
,
extensive
endplate
erosions
without
endplate
remodeling
,
and
facet
joint
involvement
are
suggestive
of
spondyloarthropathy
instead
of
infectious
diskitis
or
degenerative
disk
disease
.
Although
the
clinical
features
of
these
conditions
may
overlap
,
knowledge
of
the
patient
's
medical
history
,
coupled
with
recognition
of
key
imaging
characteristics
,
allows
the
radiologist
to
make
a
prompt
and
correct
diagnosis
that
leads
to
appropriate
management
.
Diseases
Validation
Diseases presenting
"and retinopathy"
symptom
pyomyositis
You can validate or delete this automatically detected symptom
Validate the Symptom
Delete the Symptom