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Charcot neuroarthropathy in simultaneous kidney-pancreas transplantation: report of two cases.

Abstract
Charcot neuroarthropathy (CN) is considered a major complication in diabetes mellitus (DM), and it is estimated that 1% of diabetic patients may develop this complication. Simultaneous kidney-pancreas transplantation (SKPT) is one of the most effective therapies for patients with type 1 DM and end-stage diabetic nephropathy. Some cases with a Charcot-modified clinical presentation during the postoperative convalescence period after SKPT have been described. The clinical presentation may condition severe destructive lesions, and good practices include systematic follow-up. Based on the cases described, SKPT is one more entity that might lead to CN 'foot-at-risk'. The aim of this article is to describe two cases of neuropathic arthropathy with rapid progression in the short term after SKPT.
AuthorsJorge Javier Del Vecchio, Nicolás Raimondi, Horacio Rivarola, Carlos Autorino
JournalDiabetic foot & ankle (Diabet Foot Ankle) Vol. 4 ( 2013) ISSN: 2000-625X [Print] United States
PMID24003361 (Publication Type: Case Reports)

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