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Revista de la Facultad de Medicina Humana
Print version ISSN 1814-5469On-line version ISSN 2308-0531
Abstract
PATRON-ORDONEZ, Gino and ANTICONA-SAYAN, María Isabel. Charcot neuroarthropathy: Differential diagnosis of monoarthritis of the knee in patients with type 2 diabetes mellitus. Rev. Fac. Med. Hum. [online]. 2022, vol.22, n.4, pp.906-911. Epub Oct 12, 2022. ISSN 1814-5469. http://dx.doi.org/10.25176/rfmh.v22i4.5107.
Clinical case:
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.
Discussion:
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.
Conclusion:
Despite being rare, it is important to consider Charcot neuroarthropathy in all diabetic patients with monoarthritis of the knee, to make an early diagnosis and avoid important complications and sequelae, always ruling out infectious causes and arthritis due to microcrystals.
Keywords : Neurogenic arthropathy; Charcot's joint; Diabetes complications; Diabetic neuropathies; monoarthritis. (Source: MeSH NLM)..