This patient presents to the ED with delirium resulting from diabetic ketoacidosis. She also has a variety of ENT complaints, including recent bloody nasal discharge and confusion. Read the details of this case and see if you can make the diagnosis.
A 50-year-old African American woman with type 2 diabetes mellitus and hypertension was admitted with constant bilateral knee and thigh pain and swelling of both knees. Bilateral knee effusions were present. The diagnosis was diabetic myonecrosis. Which statement about this condition is false?