Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus
A 46-year-old man with long-standing, poorly controlled diabetes is hospitalized for right knee monoarthritis after trauma. His clinical evaluation found joint deformity, synovitis in the right knee and absence of multiple toes due to a history of amputation. With the radiological evaluation that sh...
| Main Authors: | , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad Ricardo Palma
2022-10-01
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| Series: | Revista de la Facultad de Medicina Humana |
| Subjects: | |
| Online Access: | http://revistas.urp.edu.pe/index.php/RFMH/article/view/5107 |
| _version_ | 1797983700069122048 |
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| author | Gino Patrón-Ordóñez María Isabel Anticona-Sayán |
| author_facet | Gino Patrón-Ordóñez María Isabel Anticona-Sayán |
| author_sort | Gino Patrón-Ordóñez |
| collection | DOAJ |
| description | A 46-year-old man with long-standing, poorly controlled diabetes is hospitalized for right knee monoarthritis after trauma. His clinical evaluation found joint deformity, synovitis in the right knee and absence of multiple toes due to a history of amputation. With the radiological evaluation that showed bone destruction and the synovial fluid analysis that ruled out infectious causes and microcrystal arthritis, the diagnosis of Charcot neuroarthropathy of the knee was made. Conservative management was indicated with the use of a felt insole for unloading and the use of a walker, the case being followed up to define behavior according to evolution. Despite being rare, it is important to consider Charcot neuroarthropathy in all diabetic patients with monoarthritis of the knee, in order to make an early diagnosis and avoid important complications and sequelae, always ruling out infectious causes and arthritis due to microcrystals. |
| first_indexed | 2024-04-11T06:51:19Z |
| format | Article |
| id | doaj.art-8d8c5fa12776460f95d8985981795b75 |
| institution | Directory Open Access Journal |
| issn | 1814-5469 2308-0531 |
| language | Spanish |
| last_indexed | 2024-04-11T06:51:19Z |
| publishDate | 2022-10-01 |
| publisher | Universidad Ricardo Palma |
| record_format | Article |
| series | Revista de la Facultad de Medicina Humana |
| spelling | doaj.art-8d8c5fa12776460f95d8985981795b752022-12-22T04:39:12ZspaUniversidad Ricardo PalmaRevista de la Facultad de Medicina Humana1814-54692308-05312022-10-01224906911https://doi.org/10.25176/RFMH.v22i4.5107Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitusGino Patrón-Ordóñez0https://orcid.org/0000-0002-3302-360XMaría Isabel Anticona-Sayán1https://orcid.org/0000-0003-2020-9138Instituto de investigaciones en ciencias biomédicas, Facultad de medicina Humana. Universidad Ricardo Palma, Lima – Perú.Hospital Nacional Dos de Mayo-Sala de Medicina Julián Arce. Lima, Perú.A 46-year-old man with long-standing, poorly controlled diabetes is hospitalized for right knee monoarthritis after trauma. His clinical evaluation found joint deformity, synovitis in the right knee and absence of multiple toes due to a history of amputation. With the radiological evaluation that showed bone destruction and the synovial fluid analysis that ruled out infectious causes and microcrystal arthritis, the diagnosis of Charcot neuroarthropathy of the knee was made. Conservative management was indicated with the use of a felt insole for unloading and the use of a walker, the case being followed up to define behavior according to evolution. Despite being rare, it is important to consider Charcot neuroarthropathy in all diabetic patients with monoarthritis of the knee, in order to make an early diagnosis and avoid important complications and sequelae, always ruling out infectious causes and arthritis due to microcrystals.http://revistas.urp.edu.pe/index.php/RFMH/article/view/5107neurogenic arthropathycharcot's jointdiabetes complicationsdiabetic neuropathiesmonoarthritis |
| spellingShingle | Gino Patrón-Ordóñez María Isabel Anticona-Sayán Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus Revista de la Facultad de Medicina Humana neurogenic arthropathy charcot's joint diabetes complications diabetic neuropathies monoarthritis |
| title | Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus |
| title_full | Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus |
| title_fullStr | Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus |
| title_full_unstemmed | Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus |
| title_short | Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus |
| title_sort | charcot neuroarthropathy differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus |
| topic | neurogenic arthropathy charcot's joint diabetes complications diabetic neuropathies monoarthritis |
| url | http://revistas.urp.edu.pe/index.php/RFMH/article/view/5107 |
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