Soysal Neslihan, Ayhan Mediha, Guney Engin, Akyol Ali
Department of Internal Medicine, School of Medicine, Adnan Menderes University, Aydin, Turkey.
Neuro Endocrinol Lett. 2007 Oct;28(5):556-9.
Foot problems are common causes of morbidity in patients with diabetes mellitus. Foot ulcers are the leading cause of hospitalization in diabetic patients. Bones may be involved in two different clinical conditions: osteomyelitis and Charcot osteoarthropathy. Osteomyelitis usually develops by spreading from contiguous soft tissue to underlying bone. Charcot foot is deformation of foot as a result of muscle athrophy, bone and joint structure changes in a joint as a secondary complication of neuropathy. To distinguish bone infection from non-infectious bone disorders as in Charcot joint may be difficult, especially if there is no skin ulceration. So, the mere absence of skin ulcers does not exclude the diagnosis of osteomyelitis.
足部问题是糖尿病患者发病的常见原因。足部溃疡是糖尿病患者住院的主要原因。骨骼可能会出现两种不同的临床情况：骨髓炎和夏科氏关节病。骨髓炎通常是由相邻的软组织蔓延至下方骨骼而引发。夏科氏足是由于肌肉萎缩、关节处骨骼和关节结构改变而导致的足部畸形，是神经病变的一种继发性并发症。区分骨感染与夏科氏关节病等非感染性骨疾病可能很困难，尤其是在没有皮肤溃疡的情况下。因此，仅仅没有皮肤溃疡并不能排除骨髓炎的诊断。
