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Diagnosis and Treatment > Signs and Symptoms

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Dured Dardari Diabetology Department, Centre Hopitalier Sud Francilien, Corbeil-Essonnes, France
Sorbonne Université, Paris, France

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Alfred Penfornis Diabetology Department, Centre Hopitalier Sud Francilien, Corbeil-Essonnes, France
Paris-Sud Medical School, Paris-Saclay University, Orsay, France

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Agnes Hartemann Diabetology Department, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France
Sorbonne Université, Paris, France

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Summary

We report the onset of acute Charcot neuroarthropathy during pregnancy in two patients with type 1 diabetes using retrospective review of case notes. We describe for the first time the onset of acute Charcot neuroarthropathy during pregnancy in two patients with type 1 diabetes. Pregnancy may promote the onset and worsening of a number of diabetic complications. A link between pregnancy and the onset of acute Charcot neuroarthropathy is demonstrated for the first time in this report.

Learning points:

  • Patients with already diagnosed sensitive neuropathy can develop an active phase of Charcot neuroarthropathy during pregnancy.

  • The rapid correction of hyperglycaemia may induce an active phase of Charcot neuroarthropathy during pregnancy.

Taxonomy:
Clinical Overview, Gland/Organ, Bone, Topic, Bone, Hormone, Insulin, Condition/ Syndrome, Diabetes mellitus type 1, Diabetic nephropathy, Hyperglycaemia, Thyroiditis, Patient Demographics, Age, Adult, Gender, Female, Ethnicity, White, Country of Treatment, France, Diagnosis and Treatment, Signs and Symptoms, Diabetes mellitus type 1, Diabetic neuropathy, Diabetic nephropathy, Feet - increased size, Hyperglycaemia, Microalbuminuria, Oedema, Paraesthesia, Retinopathy, Vomiting, Investigation, Albumin, Haemoglobin A1c, Ultrasound scan, Medication, Corticosteroids, Iron supplements, Insulin, Prednisone, Related Disciplines, Podiatry, Publication Details, Case Report Type, Insight into disease pathogenesis or mechanism of therapy
DOI:
https://doi.org/10.1530/EDM-20-0002
Volume/Issue:
Volume 2020: Issue 1
Open access