Publication

Missing the boat: fatal ending to a missed case of Charcot arthropathy

Journal Paper/Review - Jun 16, 2020

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Citation
Galeazzi Rech A, Stüve Y, Toepfer A, Schimke K. Missing the boat: fatal ending to a missed case of Charcot arthropathy. Endocrinol Diabetes Metab Case Rep 2020; 2020
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Type
Journal Paper/Review (English)
Journal
Endocrinol Diabetes Metab Case Rep 2020; 2020
Publication Date
Jun 16, 2020
Issn Print
2052-0573
Issn Electronic
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Brief description/objective

Summary
Acute Charcot neuropathic osteoarthropathy (CN) is a clinical entity which can easily go unrecognized in its acute early stages due to lack of awareness and unspecific presentation. However, missing early diagnosis can lead to severe complications. We present the case of a 72-year-old male patient who went through the natural course of the disease unnoticed before the very eyes of his physicians leading to a tragic end. We aim to raise awareness for this rare diabetic complication, emphasizing the necessity of early diagnosis and adequate, interdisciplinary treatment.

Learning points
Clinical signs and symptoms of acute Charcot neuropathic osteoarthropathy (CN). Red flags. Importance of early diagnosis and correct treatment. Diagnostic challenges of acute CN. Awareness of high morbidity and mortality.