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Minerva

Diabetic feet . . . and other stories

BMJ 2018; 361 doi: https://doi.org/10.1136/bmj.k2428 (Published 07 June 2018) Cite this as: BMJ 2018;361:k2428

Charcot joints

Neuropathic arthropathy of the foot was first described by the French neurologist Jean-Martin Charcot in 1868 in patients with tabes dorsalis. Nowadays, of course, the commonest cause is diabetes. The condition starts with an inflammatory response to a minor injury. If peripheral neuropathy is present, both the initial insult and the subsequent inflammation may be unrecognised, and it’s not surprising that diagnosis is sometimes delayed. A survey in the East Midlands region of England reports a prevalence of 4.3 cases per 10 000 people with diabetes (Diabetic Med doi:10.1111/dme.13679). In a quarter …

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