W. M. SHEPPE, M.D., F.A.C.P.
The occurrence of gross changes in the bones of the feet as a complication of diabetes mellitus has been described by Bailey and Root,1 Joslin, Root, White and Marble,3 Parsons and Norton,4 Beidelman and Duncan5 and others. The recognition of this type of lesion depends upon both clinical and roentgenologic observation. The lesion usually develops insidiously and during periods of uncontrolled diabetes. Signs and symptoms of a diabetic neuritis are usually prominent, while the circulatory status of the extremity may be unimpaired. Perforating ulcers without gross infection or gangrene are often noted. The involved foot is swollen but painless, even
SHEPPE WM. NEUROPATHIC (CHARCOT) JOINTS OCCURRING IN DIABETES MELLITUS1. Ann Intern Med. 1953;39:625–629. doi: 10.7326/0003-4819-39-3-625
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Published: Ann Intern Med. 1953;39(3):625-629.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism.
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