Dured Dardari1, Alfred Penfornis2, Coralie Amadou2, Franck Phan3, Olivier Bourron3, Jean Michel Davaine4, Fabienne Foufelle5, Frédéric Jaisser5, Francois-Xavier Laborne6, Agnes Hartemann3. 1. Diabetology Department, Centre Hopitalier Sud Francilien, Corbeil Essonnes, France; Centre de recherche des Cordeliers INSERM U1138 Team "Diabetes, metabolic diseases and comorbidities", 15 rue de l'Ecole de Médecine, 75270 Paris cedex 06, France; Sorbonne Université, 15 rue de l'Ecole de Médecine, 75006 Paris, France. Electronic address: dured.dardari@gmail.com. 2. Diabetology Department, Centre Hopitalier Sud Francilien, Corbeil Essonnes, France. 3. Diabetology Department, AP-HP, Hôpital Pitié-Salpêtrière, F-75013 Paris, France; Centre de recherche des Cordeliers INSERM U1138 Team "Diabetes, metabolic diseases and comorbidities", 15 rue de l'Ecole de Médecine, 75270 Paris cedex 06, France; Sorbonne Université, 15 rue de l'Ecole de Médecine, 75006 Paris, France. 4. Centre de recherche des Cordeliers INSERM U1138 Team "Diabetes, metabolic diseases and comorbidities", 15 rue de l'Ecole de Médecine, 75270 Paris cedex 06, France; Vascular Surgery Department AP-HP, Hôpital Pitié-Salpêtrière, F-75013 Paris, France; Sorbonne Université, 15 rue de l'Ecole de Médecine, 75006 Paris, France. 5. Centre de recherche des Cordeliers INSERM U1138 Team "Diabetes, metabolic diseases and comorbidities", 15 rue de l'Ecole de Médecine, 75270 Paris cedex 06, France. 6. Clinical Research Unit centre hospitalier sud Francilien, 40 Avenue Serge Dassault, 91100 Corbeil-Essonnes, France.
Abstract
OBJECTIVE: To report a case of neuroarthropathy in the tarsus and knee following rapid glycaemic normalisation in a female patient with type I diabetes. METHODS: A retrospective review of case notes. RESULTS: We describe the case of a female patient with type I diabetes who had developed a multifocal neuroarthropathy in only six months, probably due to a rapid glycaemic normalisation. The onset of this neuroarthropathy was not only fast but mostly multifocal affecting two levels of joints. CONCLUSION: The link between the onset of multifocal neuroarthropathy and the rapid correction of chronic hyperglycaemia is probably proven in our case. Patients with chronic hyperglycaemia with sensitive neuropathy should benefit from a gradual correction of their glycaemic imbalance in order to avoid the apparition of neuroarthropathy.
OBJECTIVE: To report a case of neuroarthropathy in the tarsus and knee following rapid glycaemic normalisation in a female patient with type I diabetes. METHODS: A retrospective review of case notes. RESULTS: We describe the case of a female patient with type I diabetes who had developed a multifocal neuroarthropathy in only six months, probably due to a rapid glycaemic normalisation. The onset of this neuroarthropathy was not only fast but mostly multifocal affecting two levels of joints. CONCLUSION: The link between the onset of multifocal neuroarthropathy and the rapid correction of chronic hyperglycaemia is probably proven in our case. Patients with chronic hyperglycaemia with sensitive neuropathy should benefit from a gradual correction of their glycaemic imbalance in order to avoid the apparition of neuroarthropathy.