The Charcot Foot, an increasing problem in Egypt
Egypt is among the world’s top 10 countries in terms of the highest number of people with diabetes. According to the IDF data, most frequently affected people with diabetes in developing countries are between 35 and 64 years of age. Delayed Presentation and lack of appropriate foot care, could account for different presentation and outcome of Charcot foot in Egypt. It is expected with this large diabetic population that more Diabetic Foot cases including Charcot foot will be found.
The greatest burden of Charcot Foot is the late presentation after the occurrence of deformity. The stage of acute Charcot needs high degree of suspicion. It is characterized by acutely inflamed, warm swollen foot with or without pain, that is usually misdiagnosed as acute gouty arthritis, cellulitis, ankle sprain or others. Hence, the patient continued walking on his feet while the most important line of treatment of acute Charcot is offloading.
More effort should be done towards orientation about acute Charcot, especially in developing countries. This footnote aims to stress that proper diagnosis and management of acute Charcot will certainly decrease the sequences of ulceration, being bilateral (see photos), instability, needs to surgery or amputation with all its socioeconomic impact. This was one of our target in Mansoura Foot Clinic to implement the “Step-by-Step project for prevention of amputation in Egypt”, sponsored by the WDF.
Hanan M. Elsetohy Gawish, MD,PhD
Prof Diabetes & Endocrinology Unit, Mansoura University.
Scientific Secretary of Egyptian Society of Diabetic Foot (ESDF)
Secretary of the IDF Consultative Section DF and Pan African DF Study Group
Note of the editor:
See also the report in the Newsletter July 2013 on the “First Training course on the Charcot Foot in Rheine, Germany”.