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Current Diabetes Reports

Erschienen in:

01.10.2018 | Microvascular Complications—Neuropathy (R Pop-Busui, Section Editor)

Updates on Diabetic Foot and Charcot Osteopathic Arthropathy

verfasst von: Brian M. Schmidt, Crystal M. Holmes

Erschienen in: Current Diabetes Reports | Ausgabe 10/2018

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Abstract

Purpose of Review

Diabetes mellitus affects approximately 30.8 million people currently living in the USA. Chronic diabetes complications, including diabetic foot complications, remain prevalent and challenging to treat. We review clinical diagnosis and challenges providers may encounter when managing diabetic foot ulcers and Charcot neuroarthropathy.

Recent Findings

Mechanisms controlling these diseases are being elucidated and not fully understood. Offloading is paramount to heal and manage diabetic foot ulcers and Charcot neuroarthropathy. Diabetic foot ulcers recur and the importance of routine surveillance and multidisciplinary approach is essential. Several predictors of failure in Charcot foot include a related diabetic foot ulcer, midfoot or rearfoot location of the Charcot event, and progressive bony changes on interval radiographs.

Summary

Patients with diabetic foot ulcer and/or Charcot neuroarthropathy are in need of consistent and regular special multidisciplinary care. If not diagnosed early and managed effectively, morbidity and mortality significantly increase.

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Titel: Updates on Diabetic Foot and Charcot Osteopathic Arthropathy
verfasst von: Brian M. Schmidt
Crystal M. Holmes
Publikationsdatum: 01.10.2018
Verlag: Springer US
Erschienen in: Current Diabetes Reports / Ausgabe 10/2018
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI: https://doi.org/10.1007/s11892-018-1047-8

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