Kantonsspital St.Gallen

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

Anna Luiza Galeazzi Rech, Yvon Stüve, Andreas Toepfer & Katrin Schimke


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.
citation Galeazzi Rech A L, 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:.
type journal paper/review (English)
date of publishing 16-06-2020
journal title Endocrinol Diabetes Metab Case Rep (2020)
ISSN print 2052-0573
PubMed 32554824
DOI 10.1530/EDM-20-0013