© 2004 Fellowship of Postgraduate Medicine
IMAGES IN MEDICINE
Charcot’s foot: advanced manifestation of diabetic neuropathy
* Department of Endocrinology, Radiodiagnosis, and
** Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Correspondence to:
Correspondence to:
Dr Anil Bhansali
Department of Endocrinology, Postgraduate Institute of Medical, Education and Research, Chandigarh 160012, India; anilbhansali_endocrine@rediffmail.com
Keywords: Charcot’s foot; diabetic neuropathy
| The first 150 words of the full text of this article appear below. |
A 48 year old man, a known diabetic for 14 years, who had poor compliance to treatment was admitted with left lower limb pain and deformity of his left foot for two months. He did not have a history of alcohol intake or promiscuity. On evaluation, he had bilateral loss of pain, touch, temperature, and vibration sense below the ankle joint. His vibration perception threshold was increased to 46 mV on the left side and 38 mV on the right side (normal <25 mV). The pressure sense tested with a SG 5.07 monofilament over both feet was impaired and he had "rocker bottom type deformity" of the left foot (fig 1
). His body mass index was 24 kg/m2. He was hypertensive and had bilateral advanced non-proliferative diabetic retinopathy. On investigation, random blood glucose was 26 mmol/l, serum creatinine 3.1 µmol/l, and 24 hour urine protein was 6.4 g.
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