My last case report from Kentucky has finally come out.  You can find it in the Journal of General Internal Medicine (currently e-published nbut will be in print soon). It’s bitter-sweet: it marks the end of an unbelievably academic productive era.

There aren’t any spoilers in this case report – the title says it all.   While deep vein thromboses (clots in the legs) and cellulitis are common causes of leg pain in diabetic patients, physicians should consider diabetic muscle infarction, also called diabetic myonecrosis.  Making the diagnosis makes a huge difference in treatment, especially in directing physical therapy.

Thigh pain in a poorly controlled diabetic? Don't overlook muscle infarction-it looks like cellulitis/DVT.https://t.co/4rMOYpy1lN #medicine

— Bharat Kumar (@BharatKumarMD) February 1, 2016