Recurrence of the acute Charcot foot in diabetes

Diabetic Medicine : a Journal of the British Diabetic Association
S RudrappaW Jeffcoate

Abstract

The acute Charcot foot is thought to occur in people who have a number of predisposing factors, of which distal neuropathy is the most important. But while occurrence in the contralateral foot is not infrequent, recurrence in the same foot seems to be very rare. A case is described in which discrete episodes of inflammation of the midfoot occurred in the same foot over a period of 14 years, and were attributed to acute Charcot neuroarthropathy (Charcot foot). There was coincidental evidence of osteomyelitis of the 4(th) toe but there was no suspicion that the inflammatory episodes of the midfoot were the result of bone infection and they settled without treatment with antibiotics. This case had clinically diagnosed recurrences of inflammation and destruction typical of the acute Charcot foot over an extended period, and this is most unusual. The implications of the rarity of such recurrences are discussed.

References

Jun 9, 1998·Journal of Diabetes and Its Complications·S A ShapiroA I Vinik
Jun 7, 2000·Diabetes Care·J FabrinP E Holstein
Apr 5, 2008·Physical Therapy·Mary Kent HastingsDavid R Sinacore
Jul 16, 2010·Diabetes Care·Nina L Petrova, Michael E Edmonds
Aug 27, 2011·Diabetes Care·Lee C RogersLuigi Uccioli

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Citations

Mar 23, 2013·Foot & Ankle International·Georg OsterhoffMartin Berli
Mar 31, 2015·Diabetic Medicine : a Journal of the British Diabetic Association·W J Jeffcoate
Aug 21, 2013·Advances in Skin & Wound Care·Fran Game, William Jeffcoate
Jul 24, 2020·Foot & Ankle International·Felix W A WaibelMadlaina Schöni
May 7, 2019·Current Diabetes Reviews·Dario PitoccoAlfredo Pontecorvi
Apr 9, 2021·Archives of Orthopaedic and Trauma Surgery·Viviane GratwohlFelix W A Waibel

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