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成人隐匿性自身免疫性糖尿病患者下肢体育锻炼诱发的膝部和足部多灶性神经关节病

Multifocal Neuroarthropathy of the Knee and Foot Induced by Physical Training of the Lower Extremities in a Patient With Latent Autoimmune Diabetes in Adults.

作者信息

Kojima Chika, Himeno Tatsuhito, Akao Machiko, Kamiya Hideki, Nakamura Jiro

机构信息

Internal Medicine, Owariasahi Clinic, Owariasahi, JPN.

Division of Diabetes, Department of Internal Medicine, Aichi Medical University School of Medicine, Nagakute, JPN.

出版信息

Cureus. 2022 Aug 19;14(8):e28163. doi: 10.7759/cureus.28163. eCollection 2022 Aug.

DOI:10.7759/cureus.28163
PMID:36148208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9482758/
Abstract

Charcot neuroarthropathy is a progressive arthropathy associated with neuropathy. In patients with diabetes, Charcot neuroarthropathy mostly affects the foot. In the present case, we encountered a rare presentation of Charcot neuroarthropathy of the knee and foot in a patient with latent autoimmune diabetes in adults. The patient, who may have developed the disease as a result of inappropriate physical exercise, was treated with total knee arthroplasty.

摘要

夏科氏神经关节病是一种与神经病变相关的进行性关节病。在糖尿病患者中,夏科氏神经关节病大多影响足部。在本病例中,我们遇到了一名成年潜伏性自身免疫性糖尿病患者出现膝部和足部夏科氏神经关节病的罕见表现。该患者可能因不适当的体育锻炼而发病,接受了全膝关节置换术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/9482758/6c1db118ab26/cureus-0014-00000028163-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/9482758/3453bd8b28cc/cureus-0014-00000028163-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/9482758/24a641f805ce/cureus-0014-00000028163-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/9482758/6c1db118ab26/cureus-0014-00000028163-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/9482758/3453bd8b28cc/cureus-0014-00000028163-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/9482758/24a641f805ce/cureus-0014-00000028163-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/9482758/6c1db118ab26/cureus-0014-00000028163-i03.jpg

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本文引用的文献

1
Current clinical state of type 1 diabetes in Saitama prefecture.埼玉县1型糖尿病的当前临床状况。
Diabetol Int. 2021 Nov 1;13(2):436-446. doi: 10.1007/s13340-021-00557-8. eCollection 2022 Apr.
2
Updates in diabetic neuropathy: A call for new diagnostic and treatment approaches.糖尿病神经病变的新进展:呼吁采用新的诊断和治疗方法。
J Diabetes Investig. 2022 Mar;13(3):432-434. doi: 10.1111/jdi.13711. Epub 2021 Dec 7.
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Charcot knee - presentation, diagnosis, management - a scoping review.夏科膝关节——表现、诊断、治疗——范围综述。
Clin Rheumatol. 2021 Nov;40(11):4445-4456. doi: 10.1007/s10067-021-05775-8. Epub 2021 May 24.
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Quantitative vibration perception threshold in assessing diabetic polyneuropathy: Should the cut-off value be adjusted for Chinese individuals with type 2 diabetes?定量振动感觉阈值评估糖尿病周围神经病变:中国 2 型糖尿病患者的截断值是否需要调整?
J Diabetes Investig. 2021 Sep;12(9):1663-1670. doi: 10.1111/jdi.13515. Epub 2021 Feb 20.
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Current concepts in the management of diabetic polyneuropathy.糖尿病性多发性神经病的治疗现状。
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6
Point-of-care nerve conduction device predicts the severity of diabetic polyneuropathy: A quantitative, but easy-to-use, prediction model.即时神经传导设备预测糖尿病多发性神经病的严重程度:一种定量但易于使用的预测模型。
J Diabetes Investig. 2021 Apr;12(4):583-591. doi: 10.1111/jdi.13386. Epub 2020 Sep 14.
7
Current concepts underlying the pathophysiology of acute Charcot neuroarthropathy in the diabetic foot and ankle.当前糖尿病足和踝关节急性夏科氏神经骨关节病病理生理学的基本概念。
Expert Rev Clin Immunol. 2020 Aug;16(8):839-845. doi: 10.1080/1744666X.2020.1804869. Epub 2020 Aug 10.
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Spectrum of diabetic neuropathies.糖尿病性神经病变谱
Diabetol Int. 2020 Jan 8;11(2):87-96. doi: 10.1007/s13340-019-00424-7. eCollection 2020 Apr.
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Bone Joint Res. 2018 Jun 5;7(5):373-378. doi: 10.1302/2046-3758.75.BJR-2017-0334.R1. eCollection 2018 May.
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Diabetologia. 2002 Aug;45(8):1085-96. doi: 10.1007/s00125-002-0885-7. Epub 2002 Jul 11.