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Abstract：
UNASSIGNED: Charcot arthropathy, also known as neuropathic arthropathy, is a rare disease whose early diagnosis and treatment are very difficult. Generally, diabetes is considered the most common cause of Charcot arthropathy. Although Charcot arthropathy of other secondary etiology has been reported, in most cases only a single joint is accumulated, and rarely involving the feet and shoulders. Clinically, Charcot arthropathy due to delayed diagnosis leads to joint destruction and severe cases abound.
UNASSIGNED: What we report is an unprecedented case, in which the patient was diagnosed as left shoulder joint, interdigital joint Charcot arthropathy caused by cervical spondylotic myelopathy (CSM) and left knee and right ankle Charcot arthropathy caused by adult degenerative scoliosis (ADS) complicated by syringomyelia. The 82-year-old male patient was admitted to the hospital for complaining of pain in the left knee joint. Except for scoliosis that was discovered 10 years ago, the patient denied any other obvious past medical history. Clinical/surgical manifestations, detailed physical examinations and auxiliary examinations all indicated the presence of polyarticular Charcot arthropathy, but common causes of Charcot arthropathy such as diabetes and syphilis have not been detected. After making a comprehensive differential diagnosis, we finally made the above diagnosis.
UNASSIGNED: This previously unreported case describes the complexity and etiological diversity of Charcot arthropathy. We recommend that patients with CSM and/or scoliosis, spinal deformity undergo further examination and regular follow-up. A detailed medical history and careful physical examination are necessary for the correct diagnosis of Charcot arthropathy. Although the early diagnosis of Charcot arthropathy cannot change the natural course of the disease, it is beneficial to alleviate symptoms and prevent serious complications.
UNASSIGNED: What we report is an unprecedented case, in which the patient was diagnosed as left shoulder joint, interdigital joint Charcot arthropathy caused by cervical spondylotic myelopathy (CSM) and left knee and right ankle Charcot arthropathy caused by adult degenerative scoliosis (ADS) complicated by syringomyelia. The 82-year-old male patient was admitted to the hospital for complaining of pain in the left knee joint. Except for scoliosis that was discovered 10 years ago, the patient denied any other obvious past medical history. Clinical/surgical manifestations, detailed physical examinations and auxiliary examinations all indicated the presence of polyarticular Charcot arthropathy, but common causes of Charcot arthropathy such as diabetes and syphilis have not been detected. After making a comprehensive differential diagnosis, we finally made the above diagnosis.
UNASSIGNED: This previously unreported case describes the complexity and etiological diversity of Charcot arthropathy. We recommend that patients with CSM and/or scoliosis, spinal deformity undergo further examination and regular follow-up. A detailed medical history and careful physical examination are necessary for the correct diagnosis of Charcot arthropathy. Although the early diagnosis of Charcot arthropathy cannot change the natural course of the disease, it is beneficial to alleviate symptoms and prevent serious complications.
摘要：
■Charcot关节病，也被称为神经病性关节病，是一种罕见的疾病，其早期诊断和治疗非常困难。一般来说,糖尿病被认为是Charcot关节病的最常见原因。尽管已经报道了其他继发性病因的Charcot关节病，在大多数情况下，只有一个关节积累，很少涉及脚和肩膀。临床上,由于延迟诊断导致的Charcot关节病导致关节破坏，严重病例很多。
■我们报告的是一个前所未有的案例，患者被诊断为左肩关节，由脊髓型颈椎病（CSM）引起的指间关节Charcot关节病，由成人退行性脊柱侧凸（ADS）引起的左膝和右踝Charcot关节病并发脊髓空洞症。这名82岁的男性患者因抱怨左膝关节疼痛而入院。除了10年前发现的脊柱侧弯,患者否认有其他明显的既往病史.临床/手术表现，详细的体格检查和辅助检查都表明存在多关节Charcot关节病，但是Charcot关节病的常见原因，如糖尿病和梅毒尚未发现。在做出全面的鉴别诊断后，我们最终做出了上述诊断。
■这个以前未报道的病例描述了Charcot关节病的复杂性和病因多样性。我们建议患有CSM和/或脊柱侧弯的患者，脊柱畸形接受进一步检查和定期随访。详细的病史和仔细的体格检查对于正确诊断Charcot关节病是必要的。尽管Charcot关节病的早期诊断不能改变疾病的自然病程，有利于缓解症状,预防严重并发症。
■我们报告的是一个前所未有的案例，患者被诊断为左肩关节，由脊髓型颈椎病（CSM）引起的指间关节Charcot关节病，由成人退行性脊柱侧凸（ADS）引起的左膝和右踝Charcot关节病并发脊髓空洞症。这名82岁的男性患者因抱怨左膝关节疼痛而入院。除了10年前发现的脊柱侧弯,患者否认有其他明显的既往病史.临床/手术表现，详细的体格检查和辅助检查都表明存在多关节Charcot关节病，但是Charcot关节病的常见原因，如糖尿病和梅毒尚未发现。在做出全面的鉴别诊断后，我们最终做出了上述诊断。
■这个以前未报道的病例描述了Charcot关节病的复杂性和病因多样性。我们建议患有CSM和/或脊柱侧弯的患者，脊柱畸形接受进一步检查和定期随访。详细的病史和仔细的体格检查对于正确诊断Charcot关节病是必要的。尽管Charcot关节病的早期诊断不能改变疾病的自然病程，有利于缓解症状,预防严重并发症。
