CAJ | 학술논문

夏科( Charcot)关节病是指由神经性疾病导致患者关节深部感觉丧失、骨质破坏，从而引起关节结构异常和功能紊乱的一类疾病。目前，糖尿病已经成为 Charcot 关节病的主要病因之一，其中以 Charcot 足最为常见。Charcot足起病较为隐匿，呈进行性发展，临床症状不典型，易被漏诊和误诊。本文报道了1例1型糖尿病并发Charcot足患者的临床诊治经过，并对其发病机制、临床特点、分期、诊断及治疗等进行讨论和分析，并结合文献复习，以期能提高临床医生对该类疾病的认识。
하과( Charcot)관절병시지유신경성질병도치환자관절심부감각상실、골질파배，종이인기관절결구이상화공능문란적일류질병。목전，당뇨병이경성위 Charcot 관절병적주요병인지일，기중이 Charcot 족최위상견。Charcot족기병교위은닉，정진행성발전，림상증상불전형，역피루진화오진。본문보도료1례1형당뇨병병발Charcot족환자적림상진치경과，병대기발병궤제、림상특점、분기、진단급치료등진행토론화분석，병결합문헌복습，이기능제고림상의생대해류질병적인식。
Charcot arthropathy is a disease induced by neurologic diseases and causes the loss of feeling and bone destruction in deep joint, which further causes abnormal structure and dysfunction in joints. Currently, diabetes has become one of the main causes of Charcot arthropathy, among which Charcot foot is the most common type. Charcot foot has an insidious onset and shows a progressive development. The clinical manifestations of Charcot foot are untypical, thus missed diagnosis and misdiagnosis always occur. This paper reported the process of diagnosis and treatment of a case of type 1 diabetes complicated with Charcot foot, discussed and analyzed the pathogenesis, clinical features, staging, diagnosis and treatment and made relevant literature review, in order to improve clinical doctors′understanding about the disease.