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双侧神经关节病的延迟诊断:对夏科氏足发展的严重影响,一例报告。

Delayed Diagnosis of Bilateral Neuroarthropathy: Serious Impact on the Development of Charcot's Foot, a Case Report.

机构信息

Centre Hopitalier Sud Francilien, Diabetology Department, 91100 Corbeil-Essonnes, France.

Paris-Sud Medical School, Paris-Saclay University, 91100 Corbeil-Essonnes, France.

出版信息

Medicina (Kaunas). 2022 Nov 30;58(12):1763. doi: 10.3390/medicina58121763.

Abstract

Charcot neuroarthropathy (CN) is a destructive complication of the joints in patients with diabetes and should be managed from the onset of the first symptoms to avoid joint deformity and the risk of amputating the affected joint. Here, we describe the case of a young 24-year-old patient living with type I diabetes who developed active bilateral CN in both tarsal joints. This case of neuroarthropathy was uncommon due to the bilateral presentation at the same level of the joint. Despite the patient consulting from the beginning of the symptoms, none of the physicians suspected or diagnosed CN, leading to a delay in management and the aggravation of bone destruction by CN. This highlights the importance of early management of CN with the need to refer people with suspected CN to specialised diabetic foot care centres.

摘要

夏科氏关节病(CN)是糖尿病患者关节的一种破坏性并发症,应从出现第一个症状开始进行管理,以避免关节畸形和需要截肢的风险。在这里,我们描述了一位年轻的 24 岁患者的病例,他患有 1 型糖尿病,双侧跗关节均出现活动性 CN。这种神经关节病很不常见,因为关节的同一水平出现了双侧病变。尽管患者从出现症状开始就一直在咨询,但没有医生怀疑或诊断出 CN,导致治疗延误,CN 导致骨破坏加重。这凸显了早期管理 CN 的重要性,需要将疑似 CN 的患者转介至专门的糖尿病足护理中心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a86/9783763/8435a1d17fd4/medicina-58-01763-g001.jpg

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