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A 63-year-old male presented with muscle cramp and skin lesions over right leg and thigh

A 63-year-old male with a history of 3 years diabetes mellitus is complaining of muscle cramps at the back of his left thigh while walking for last 3 days. He has a hstory for diabetes mellitus type 2 for past 3 years. He is not taking any medicines for his diabetes. On general examination, he has no anemia, jaundice, cyanosis. He has no hepatomegaly or splenomegaly. His BP is 135/85 mm Hg. Cardiac and respiratory examination is normal. On skin examination, he has reddish non-pruiritic, painless skin lesions over the anterior-lateral aspect of lower right thigh and right leg for the same duration. He never had these lesions before. (his skin lesions are attached below). His random blood glucose level is 9.1 mg/dl. 



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