Charcot neuroarthropathy: An often overlooked complication of diabetes.
In patients with long-standing, poorly controlled diabetes and peripheral neuropathy, a red, hot, swollen foot without open ulceration should raise the suspicion of Charcot neuroarthropathy, an often-overlooked diabetic foot complication. The authors discuss key diagnostic features and how to differentiate this condition from cellulitis, osteomyelitis, and other conditions. They review key elements of the workup and emphasize the importance of early diagnosis and prompt treatment to preserve a functioning foot.
Botek
Georgeanne
G
Diabetic Foot Center, Department of Orthopaedic Surgery, Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA. botekg@ccf.org
Anderson
Martha A
MA
Taylor
Ryan
R
D001177:Arthropathy, Neurogenic / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D048909:Diabetes Complications / Q000503:physiopathology*; D003920:Diabetes Mellitus / Q000503:physiopathology*; D003929:Diabetic Neuropathies / Q000175:diagnosis* / Q000503:physiopathology; D003937:Diagnosis, Differential; D005534:Foot Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged