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Charcotfot, akut osteoartropati

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Sakkunnig:

Definition:
Luxationer och frakturer i foten som komplikation till neuropati (i regel i samband med diabetesneuropati).
Förekomst:
Cirka 1 % av diabetespatienter utvecklar Charcotfot.
Symtom:
Svullen och värmeökad fot. Smärta kan förekomma men finns inte alltid.
Kliniska fynd:
Värmeökad, erytematös fot jämfört med den friska sidan. Tecken på neuropati. Eventuellt deformiteter och sår.
Diagnostik:
Diagnosen ska misstänkas hos alla diabetespatienter med svullen fot. Bilddiagnostik kan bekräfta diagnosen.
Behandling:
Immobilisering/avlastning under längre tid. I enstaka fall kirurgisk åtgärd. 
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  • Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas