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Charcot foot: the unknown diagnosis and the unwilling treatment

Journal of Diabetes, Metabolic Disorders & Control
Juliana Chen-Xu,<sup>1</sup> Ângela Coelho,<sup>2</sup> Rosa Lemos<sup>3</sup>


A 55-year-old Caucasian female presented with one year old oedema of the right foot, flattened, and deformed with no scratch, wound or ulcer. There was no difference in temperature between the feet and it was not painful. The left foot had previously presented two episodes of diabetic ulcers which were treated successfully. The patient had a history of type 2 Diabetes mellitus with need of insulin therapy and associated organ damage. Foot radiography demonstrated and confirmed inactive consolidated Charcot neuroarthropathy. Comfortable custom-made footwear was advised by Orthopedics. No other follow-up was arranged. In Portugal, Charcot foot is not readily recognized, and its management is far from the recommended by the present literature. There are almost no published article about Portuguese Charcot neuroarthropathy cases. Therefore, it is important to showcase Charcot feet in order to make clinicians aware of its existence and their appropriate treatment.


charcot joint, diabetes mellitus, diabetic neuropathy, rocker bottom foot