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Updates on Diabetic Foot and Charcot Osteopathic Arthropathy

  • Microvascular Complications—Neuropathy (R Pop-Busui, Section Editor)
  • Published:
Current Diabetes Reports Aims and scope Submit manuscript

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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Authors and Affiliations

  1. Michigan Medicine, Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, University of Michigan Medical School, Domino’s Farms (Lobby C, Suite 1300) 24 Frank Lloyd Wright Drive, Ann Arbor, MI, 48106, USA

    Brian M. Schmidt & Crystal M. Holmes

Authors
  1. Brian M. Schmidt
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  2. Crystal M. Holmes
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Correspondence to Brian M. Schmidt.

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Brian M. Schmidt and Crystal M. Holmes declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This research has been fully approved by the University of Michigan Institutional Review Board.

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This article is part of the Topical Collection on Microvascular Complications—Neuropathy

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Schmidt, B.M., Holmes, C.M. Updates on Diabetic Foot and Charcot Osteopathic Arthropathy. Curr Diab Rep 18, 74 (2018). https://doi.org/10.1007/s11892-018-1047-8

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  • DOI: https://doi.org/10.1007/s11892-018-1047-8

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