title: Charcot neuroarthropathy in simultaneous kidney-pancreas transplantation: report of two cases.
abstract: Charcot neuroarthropathy (CN) is considered a major complication in diabetes mellitus (DM), and it is estimated that 1% of diabetic patients may develop this complication. Simultaneous kidney-pancreas transplantation (SKPT) is one of the most effective therapies for patients with type 1 DM and end-stage diabetic nephropathy. Some cases with a Charcot-modified clinical presentation during the postoperative convalescence period after SKPT have been described. The clinical presentation may condition severe destructive lesions, and good practices include systematic follow-up. Based on the cases described, SKPT is one more entity that might lead to CN 'foot-at-risk'. The aim of this article is to describe two cases of neuropathic arthropathy with rapid progression in the short term after SKPT.
authors.affiliation: Foot and Ankle Section, Department of Orthopaedic and Traumatology, Favaloro Foundation, CABA (Ciudad Autónoma de Buenos Aires), Argentina.
authors.forename: Jorge Javier
authors.initials: JJ
authors.lastname: Del Vecchio
authors.forename: Nicolás
authors.initials: N
authors.lastname: Raimondi
authors.forename: Horacio
authors.initials: H
authors.lastname: Rivarola
authors.forename: Carlos
authors.initials: C
authors.lastname: Autorino
keywords: Charcot foot; arthropathy; kidney; neurogenic; pancreas; transplant