Al-Busaidi Ibrahim S, Mason Rhett, Lunt Helen
Trainee Intern, Christchurch School of Medicine, University of Otago, Christchurch, New Zealand.
N Z Med J. 2015 Oct 16;128(1423):77-80.
The diagnosis of diabetic Charcot neuroarthropathy (CN) is challenging. This is especially true early in the disease process, when its classical presentation of an acutely inflamed foot may masquerade as other more common lower limb conditions. Prompt diagnosis and appropriate treatment reduces the risk of CN causing permanent incapacitating foot deformity or amputation. We report two cases in which the diagnosis was delayed, resulting in long-term sequelae. These cases highlight the importance of considering CN in patients with diabetic peripheral neuropathy, who present with a red, hot, and swollen foot.
糖尿病夏科氏神经关节病（CN）的诊断具有挑战性。在疾病过程的早期尤其如此，此时其足部急性炎症的典型表现可能会伪装成其他更常见的下肢疾病。及时诊断和适当治疗可降低CN导致永久性足部畸形或截肢的风险。我们报告了两例诊断延迟并导致长期后遗症的病例。这些病例凸显了在患有糖尿病周围神经病变且足部发红、发热和肿胀的患者中考虑CN的重要性。
