错失良机：一例夏科氏关节病漏诊的致命结局。

Missing the boat: fatal ending to a missed case of Charcot arthropathy.

作者信息

Galeazzi Rech Anna Luiza, Stüve Yvon, Toepfer Andreas, Schimke Katrin E

机构信息

Kantonsspital Sankt Gallen, Klinik für Allgemeine Innere Medizin/Hausarztmedizin, Sankt Gallen, Switzerland.

Kantonsspital Sankt Gallen, Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparts, Sankt Gallen, Switzerland.

出版信息

Endocrinol Diabetes Metab Case Rep. 2020 Jun 16;2020. doi: 10.1530/EDM-20-0013.

DOI:10.1530/EDM-20-0013

PMID:32554824

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7354711/

Abstract

SUMMARY

Acute Charcot neuropathic osteoarthropathy (CN) is a clinical entity which can easily go unrecognized in its acute early stages due to lack of awareness and unspecific presentation. However, missing early diagnosis can lead to severe complications. We present the case of a 72-year-old male patient who went through the natural course of the disease unnoticed before the very eyes of his physicians leading to a tragic end. We aim to raise awareness for this rare diabetic complication, emphasizing the necessity of early diagnosis and adequate, interdisciplinary treatment.

LEARNING POINTS

Clinical signs and symptoms of acute Charcot neuropathic osteoarthropathy (CN). Red flags. Importance of early diagnosis and correct treatment. Diagnostic challenges of acute CN. Awareness of high morbidity and mortality.

摘要

急性夏科特神经病变性骨关节炎（CN）是一种临床病症，因其缺乏特异性表现且人们对此认识不足，在急性早期阶段很容易被漏诊。然而，早期诊断的缺失可能导致严重并发症。我们报告一例72岁男性患者的病例，在医生眼皮底下，该患者未被察觉地经历了疾病的自然进程，最终导致悲剧结局。我们旨在提高对这种罕见糖尿病并发症的认识，强调早期诊断以及充分的多学科治疗的必要性。