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題 名 | Neuropathic Osteoarthropathy (Charcot's Foot) as a Chronic Complcation of Diabetes--A Case Report=神經病變性骨關節病變夏柯氏足(Charcot's Foot)--病例報告 |
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作 者 | 陳煥文; 蘇登煌; 莊立民; 王誠一; 陳煥武; 戴東原; | 書刊名 | 慈濟醫學 |
卷 期 | 17:4 民94.08 |
頁 次 | 頁287-290+302 |
分類號 | 416.61 |
關鍵詞 | 神經病變性骨關節病變; 夏柯氏足; 糖尿病; 神經病變; Neuropathic osteoarthropathy; Charcot's foot; Diabetes mellitus; Neuropathy; |
語 文 | 英文(English) |
中文摘要 | 神經病變性骨關節病變(又名夏柯氏足,Charcot’s Foot)是一個在糖尿病患併發神經病變的少見併發症。我們在此報告一例27歲糖尿病男性的右腳呈現紅腫,但不會痛,放射線檢查顯示在附骨、蹠骨、蹠骨-指骨關節有輕微錯位(subluxation)和骨節塊;神經傳導檢查確認雙腳出現感覺神經病變,右腳核磁共振顯示有破壞性骨碎片和骨塊但沒有骨髓侵犯,於診斷夏柯氏足後給予完全接觸性的石膏固定治療(total contact cast)。長期神經病變的糖尿病患在出現熱和腫的腳卻沒有感染的癢候時,需將夏柯氏足列入考慮。早期判斷出夏柯氏足,並給予完全接觸性的石膏固定治療,可以減少可能的腳變形、潰瘍和失去功能。 |
英文摘要 | Neuropathic osteoarthropathy, also known as Charcot’s foot, is an infrequent complication in patients with diabetes mellitus and severe neuropathy. We report a case of a 27-year-old diabetic man who presented with a painless, erythematous, and swollen right foot. Plain radiographs of the right foot showed subluxations and bony fragments in the tarsal-metatarsal and metatarsal-phalangeal joints. The nerve conduction velocity test confirmed the presence of sensory neuropathy in both lower extremities. Magnetic resonance imaging of the right foot demonstrated destructive osseous debris and bony fragments without bone marrow involvement. Charcot’s foot was diagnosed and treated with a total-contact cast for rest. Charcot’s foot should be suspected in any long-standing-neuropathic diabic patient with a warm swollen foot without local or systemic signs of infection. Early recognition of Charcot’s foot and immobilization with a total-contact cast can minimize potential foot deformity, ulceration, and loss of function. |
本系統中英文摘要資訊取自各篇刊載內容。