An atypical and bilateral presentation of Charcot foot disease
| Autor: | A. Kokas, E. Meimeti, E. Voyatzoglou, C. V. Loupa, A. Donou |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment Case Report 030209 endocrinology & metabolism lcsh:Diseases of the endocrine glands. Clinical endocrinology Foot deformity Diagnosis Differential Foot Diseases 03 medical and health sciences Diabetes mellitus 0302 clinical medicine Spinal osteoarthropathy Diabetic foot infection medicine Deformity Humans 030212 general & internal medicine Depression (differential diagnoses) lcsh:RC648-665 business.industry General Medicine Bilateral Prognosis medicine.disease Diabetic foot Diabetic Foot Diabetes Mellitus Type 1 Amputation Ankle oedema Charcot foot disease Female Differential diagnosis medicine.symptom business Neuropathic osteoarthropathy |
| Zdroj: | BMC Endocrine Disorders, Vol 19, Iss 1, Pp 1-5 (2019) BMC Endocrine Disorders |
| ISSN: | 1472-6823 |
| Popis: | Background Charcot neuropathic osteoarthropathy (CNO) is one of the most devastating complications of neuropathy in patients with diabetes. Establishing diagnosis of CNO is difficult, due to the lack of clear clinical and radiological diagnostic criteria. Diagnosis is even more difficult when there is atypical and bilateral clinical presentation. Since CNO may lead to foot deformity, lower-extremity amputation and significant decrements in quality of life, it must be detected and treated without delay. Treatment focuses mainly on interruption of the inflammatory process and relief from pain using feet offloading devices. In more severe cases, surgical intervention may be needed. Additionally, the use of custom-made insoles and custom-made orthopaedic shoes is mandatory. Case presentation We report a case of a young diabetic patient who presented to our clinic with bilateral and atypical presentation of Charcot foot disease. Patient was treated successfully upon diagnosis with bilateral aircast offloading. Unfortunately, due to depression and non-compliance, the disease progressed to severe and permanent lesions later on. Conclusion Despite the rareness of this disease, clinicians must include CNO into differential diagnosis of diabetic foot oedema, inflammation and deformity. |
| Databáze: | OpenAIRE |
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