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Charcot's Neuroarthropathy After Simultaneous Pancreas-Kidney Transplant

A Case Report

Michael Wilsonnull

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Simultaneous pancreas-kidney transplant (SPKT) is an accepted approach and the treatment of choice in patients with type 1 diabetes with accompanying end-stage renal disease. Charcot's neuroarthropathy of the foot (CN) is a fairly common and devastating complication found in patients with long-standing, mostly uncontrolled, diabetes. However, CN has also been identified as a posttransplant consequence of SPKT. Traditional postoperative immunosuppressive therapy, particularly the use of corticosteroids, is acknowledged as an additional risk factor for the development of de novo CN after SPKT. This article describes an unusual case of a patient who presented with full-blown CN deformity after SPKT.

This article reflects the findings and opinions of the author and does not necessarily represent the views of the Department of Veterans Affairs or the Department of Research and Development Service.

Podiatry Section, Department of Surgery, WG “Bill” Hefner VA Medical Center, 1601 Brenner Ave, Salisbury, NC 28144. (E-mail: michael.wilson9@va.gov)