Asymptomatic Charcot Foot in Longstanding Diabetes
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- Category: Vol. 89, September 2021
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Asymptomatic Charcot Foot in Longstanding Diabetes, MOHAMED E. EL-SHINAWI, NADER M. HAMADA and ABDEL RAHMAN M. ABDEL RAHMAN
Abstract
Background: Charcot foot is a longstanding complication of Diabetes Mellitus (DM) and the incidence of undiagnosed Charcot disease among diabetic patients ranges from 0.4% to 13%.
Aim of Study: This study aimstodiagnose preclinical Charcot disease in longstanding diabetic patients.
Patients and Methods: Aprospective study was carried out on 50 patients with longstanding diabetes. Full history was taken, laboratory and radiological investigations were performed.
Results: 52% of patients were found to have positive findings for Charcot disease. Positive findings on X-ray were found to be significantly related with age, HbA1C, DM duration and body mass index.
Conclusion: Patients with long standing diabetes mellitus with no obvious deformity or foot ulcerations should be screened for Charcot foot X-ray findings and should be advised about proper glycemic control, avoiding minor trauma and seeking medical advice once early clinical signs of Charcot foot appear.