"Pied de Charcot": un diagnostic à ne pas manquer [Charcot osteoarthropathy: don't miss it!].

Details

Serval ID
serval:BIB_E9C030FC78D3
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
"Pied de Charcot": un diagnostic à ne pas manquer [Charcot osteoarthropathy: don't miss it!].
Journal
Revue Médicale Suisse
Author(s)
Gastaldi G., Ruiz J., Borens O.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2013
Volume
9
Number
389
Pages
1212, 1214-1212, 1220
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; Review
Abstract
Charcot neuropathic osteoarthropathy (CNO) is a destructive process affecting the bone and joint structure of diabetic patients and resulting from peripheral neuropathy. It is a limb threatening condition resulting in dramatic deformities associated with severe morbi-mortality. The diagnosis is mostly made by the observation of inflammatory signs and higlight the importance of prompt foot evaluation. Imaging studies may help confirm the diagnosis and the severity of the condition but lack of specificity. The goal of the treatment is to maintain or achieve structural stability of the foot and ankle to prevent further deformity and plantar dislocation. The scientific evidences aren't strong enough to recommend bisphosphonates or acute surgical treatment. Surgery is unanimusly recommended to prevent secondary ulceration.
Keywords
Adult, Algorithms, Arthropathy, Neurogenic/diagnosis, Arthropathy, Neurogenic/epidemiology, Diabetic Foot/diagnosis, Diabetic Foot/epidemiology, Diagnostic Errors/prevention & control, Diagnostic Techniques, Endocrine, Female, Humans, Male, Models, Biological, Signal Transduction/genetics
Pubmed
Create date
19/09/2013 20:23
Last modification date
20/08/2019 16:12
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