<abstract xmlns="http://www.w3.org/1999/xhtml"><p>This article presents a patient with a long history of type 1 diabetes mellitus complicated with neuropathy and Charcot disease. The most common cause of neuropathic osteoarthropathy, called Charcot osteoarthropathy, is poorly controlled diabetes. The clinical picture is characterized by considerable edema, redness and increased skin temperature with relatively slight pain due to injury to nerve fibers responsible for pain sensation. The differential diagnosis should include bacterial or autoimmune arthritis, arthritis associated with gout as well as venous thrombosis and injury. The contribution of a local inflammatory reaction and abnormal bone turnover with excessive osteoclast activity might play a role in the etiopathogenesis of this disease. As a result, osseous and articular destruction progresses rapidly leading to irreversible deformity of the foot. Avoiding weight-bearing and resting the foot in a specially selected plaster cast is the most important part of treatment. Patients with the aforementioned complaints are referred to radiologists for imaging examinations. An ultrasonographer should pay attention to changes typical of Charcot arthropathy, such as: inflammatory and destructive changes in joints of the foot, uneven contour of bones with thickening and periosteal hyperemia as well as soft tissue swelling.</p></abstract>

This article presents a patient with a long history of type 1 diabetes mellitus complicated with neuropathy and Charcot disease. The most common cause of neuropathic osteoarthropathy, called Charcot osteoarthropathy, is poorly controlled diabetes. The clinical picture is characterized by considerable edema, redness and increased skin temperature with relatively slight pain due to injury to nerve fibers responsible for pain sensation. The differential diagnosis should include bacterial or autoimmune arthritis, arthritis associated with gout as well as venous thrombosis and injury. The contribution of a local inflammatory reaction and abnormal bone turnover with excessive osteoclast activity might play a role in the etiopathogenesis of this disease. As a result, osseous and articular destruction progresses rapidly leading to irreversible deformity of the foot. Avoiding weight-bearing and resting the foot in a specially selected plaster cast is the most important part of treatment. Patients with the aforementioned complaints are referred to radiologists for imaging examinations. An ultrasonographer should pay attention to changes typical of Charcot arthropathy, such as: inflammatory and destructive changes in joints of the foot, uneven contour of bones with thickening and periosteal hyperemia as well as soft tissue swelling.

Charcot arthropathy in ultrasound examination – a case report

Journal of Ultrasonography

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{"article-title":"Charcot arthropathy in ultrasound examination \u2013 a case report"}

This article presents a patient with a long history of type 1 diabetes mellitus complicated with neuropathy and Charcot disease. The most common cause of...

Charcot arthropathy in ultrasound examination – a case report

Published Online: Jun 29, 2016

Page range: 210 - 215

Received: Sep 16, 2015

Accepted: Dec 29, 2015

DOI: https://doi.org/10.15557/jou.2016.0022

Keywords
Charcot arthropathy, neurogenic osteoarthropathy, diabetes mellitus, polyneuropathy, ultrasound imaging

© 2016 Mateusz Płaza et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial 3.0 Public License.

Charcot arthropathy in ultrasound examination – a case report

Published Online: Jun 29, 2016

Page range: 210 - 215

Received: Sep 16, 2015

Accepted: Dec 29, 2015

DOI: https://doi.org/10.15557/jou.2016.0022

KeywordsCharcot arthropathy, neurogenic osteoarthropathy, diabetes mellitus, polyneuropathy, ultrasound imaging

© 2016 Mateusz Płaza et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial 3.0 Public License.

Keywords
Charcot arthropathy, neurogenic osteoarthropathy, diabetes mellitus, polyneuropathy, ultrasound imaging