Bjorkengren A G, Weisman M, Pathria M N, Zlatkin M B, Pate D, Resnick D
Department of Radiology, University of Lund, Sweden.
AJR Am J Roentgenol. 1988 Oct;151(4):743-5. doi: 10.2214/ajr.151.4.743.
Neuroarthropathy involving the feet is seen most commonly in patients with diabetes mellitus. Chronic alcoholism has been implicated as a cause of neuroarthropathy, but many alcoholics have coexistent diabetes mellitus, which may not be detected by measuring blood glucose levels alone. We report five chronic alcoholic patients with neuroarthropathic alterations of the feet in whom coexistent diabetes mellitus was excluded by using laboratory methods that are more sensitive than those employed in previously reported series of alcoholic neuroarthropathy. The radiographic features of neuroarthropathy in our five cases consisted of hypertrophic changes at the tarsal joints in four, bony fragmentation at the tarsal and metatarsal regions in three, fracture dislocation at the tarsometatarsal joint in two, and multiple pathologic fractures in one. We conclude that alcoholism can result in neuroarthropathy in the absence of diabetes mellitus.
足部神经关节病最常见于糖尿病患者。慢性酒精中毒被认为是神经关节病的一个病因，但许多酗酒者同时患有糖尿病，仅通过测量血糖水平可能无法检测出来。我们报告了5例患有足部神经关节病改变的慢性酗酒患者，通过使用比先前报道的酒精性神经关节病系列研究中所采用的方法更敏感的实验室方法，排除了同时存在的糖尿病。我们这5例患者的神经关节病影像学特征包括：4例跗关节肥大性改变，3例跗骨和跖骨区域骨质碎裂，2例跗跖关节骨折脱位，1例多发病理性骨折。我们得出结论，在没有糖尿病的情况下，酒精中毒可导致神经关节病。
