An unusual presentation of acute onset Charcot arthropathy.

Charcot acute arthropathy diabetes neuropathy

Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
May 2020
Historique:
received: 31 03 2020
revised: 10 04 2020
accepted: 13 04 2020
entrez: 9 6 2020
pubmed: 9 6 2020
medline: 9 6 2020
Statut: epublish

Résumé

Charcot arthropathy is a progressive condition primarily affecting the lower limbs in patients with diabetes mellitus. It is a rare complication of diabetic neuropathy and if left untreated can lead to severe limb destruction necessitating major amputation. Here, we report the case of a 41-year-old female who presented with rapidly progressive Charcot foot over a 10-day period, necessitating open reduction and internal fixation of Lisfranc-type fracture dislocations. Her presentation with a rapidly progressing red, swollen foot with a blister on the plantar aspect prompted initial treatment on the basis of a diabetic foot infection. The report will therefore serve as a useful reminder to maintain a high index of suspicion for Charcot foot, which may present in an atypical manner.

Identifiants

pubmed: 32509268
doi: 10.1093/jscr/rjaa128
pii: rjaa128
pmc: PMC7263751
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjaa128

Informations de copyright

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.

Références

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EFORT Open Rev. 2018 Oct 24;3(10):568-573
pubmed: 30662765
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pubmed: 23824389
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pubmed: 1969268
Kans J Med. 2018 Nov 29;11(4):114-119
pubmed: 30937152
J Diabetes Complications. 2018 Jul;32(7):708-712
pubmed: 29857955

Auteurs

Ammar Al-Najjar (A)

Vascular Surgery Unit, Worcestershire Royal Hospital, Worcester, UK.

Julien Al Shakarchi (J)

Vascular Surgery Unit, Worcestershire Royal Hospital, Worcester, UK.

Melwyn Pereira (M)

Department of Orthopaedic Surgery, Alexandra Hospital, Redditch, UK.

Richard Downing (R)

Vascular Surgery Unit, Worcestershire Royal Hospital, Worcester, UK.

Classifications MeSH