Frequency, clinical aspects and classification of diabetic polyneuro-osteoarthropathy
Ahrend, F.
Zeitschrift für die Gesamte Innere Medizin und ihre Grenzgebiete 40(19): 570-572
1985
ISSN/ISBN: 0044-2542 PMID: 4072310 Document Number: 264345
Under the aspect of a neuropathic osteoarthropathy 1,011 diabetics looked after by a district department for diabetes and metabolic diseases were examined according to anamnestic, clinical, laboratory-chemical, radiological and neurological criteria. Since up to now there are no homogeneous diagnostic standards for a diabetic neuroosteoarthropathy, a defined proposition for the classification of this clinical picture into a positive, probable and possible form is made. A frequency of the arthropathy with typical radiological symptoms of 0.9% (positive form) was found. In 5.6% a probable, in 5.0% a possible diabetic neuroosteoarthropathy was supposed. Altogether is to be estimated that in a diabetes mellitus of type I, long duration of the disease as well as unstable metabolism a clear accumulation of the most symptoms and clinical findings is present. Close correlations could be established between radiopathological and clinical, particulary clinical-neurological examination results.