1型糖尿病患者孕期急性夏科氏神经关节病的发病情况。
The onset of acute Charcot neuroarthropathy during pregnancy in patients with type 1 diabetes.
作者信息
Dardari Dured, Penfornis Alfred, Hartemann Agnes
机构信息
Diabetology Department, Centre Hopitalier Sud Francilien, Corbeil-Essonnes, France.
Sorbonne Université, Paris, France.
出版信息
Endocrinol Diabetes Metab Case Rep. 2020 Jul 15;2020. doi: 10.1530/EDM-20-0002.
SUMMARY
We report the onset of acute Charcot neuroarthropathy during pregnancy in two patients with type 1 diabetes using retrospective review of case notes. We describe for the first time the onset of acute Charcot neuroarthropathy during pregnancy in two patients with type 1 diabetes. Pregnancy may promote the onset and worsening of a number of diabetic complications. A link between pregnancy and the onset of acute Charcot neuroarthropathy is demonstrated for the first time in this report.
LEARNING POINTS
Patients with already diagnosed sensitive neuropathy can develop an active phase of Charcot neuroarthropathy during pregnancy. The rapid correction of hyperglycaemia may induce an active phase of Charcot neuroarthropathy during pregnancy.
摘要
我们通过回顾病例记录报告了2例1型糖尿病患者在孕期发生急性夏科氏关节病。我们首次描述了2例1型糖尿病患者在孕期发生急性夏科氏关节病。妊娠可能促使多种糖尿病并发症的发生和恶化。本报告首次证实了妊娠与急性夏科氏关节病发病之间的联系。
学习要点
已诊断为感觉性神经病变的患者在孕期可能发展为夏科氏关节病的活动期。高血糖的快速纠正可能在孕期诱发夏科氏关节病的活动期。
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