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足部酒精性神经关节病:病例系列及文献综述

Alcohol-induced neuroarthropathy in the foot: a case series and review of literature.

作者信息

Shibuya Naohiro, La Fontaine Javier, Frania Stephen J

机构信息

Department of Orthopaedics/Podiatry, The University of Texas Health and Science Center at San Antonio, TX, USA.

出版信息

J Foot Ankle Surg. 2008 Mar-Apr;47(2):118-24. doi: 10.1053/j.jfas.2007.12.009.

Abstract

Charcot arthropathy, also known as neuroarthropathy, is most commonly associated with diabetes mellitus, despite a variety of other etiologies. A limited number of case reports have been published on neuroarthropathies caused by other forms of neuropathy, including alcoholic peripheral neuropathy. We report 4 cases of neuroarthropathy associated with chronic alcoholism in nondiabetic individuals. Conservative management similar to that afforded diabetic patients was successfully employed in these cases. A review of the clinical presentation and the pathology of alcoholic neuropathy is included in this report. ACFAS Level of Clinical Evidence: 4.

摘要

夏科关节病,也称为神经关节病,尽管有多种其他病因,但最常与糖尿病相关。关于由其他形式的神经病变(包括酒精性周围神经病变)引起的神经关节病,已发表的病例报告数量有限。我们报告了4例非糖尿病个体中与慢性酒精中毒相关的神经关节病病例。这些病例成功采用了与糖尿病患者相似的保守治疗方法。本报告包括对酒精性神经病变的临床表现和病理的综述。美国足踝外科协会临床证据等级:4级。

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