BMJ Case Reports 2013; doi:10.1136/bcr-2012-008263

Charcot foot associated with chronic alcohol abuse

  1. Edward B Jude1
  1. 1Department of Diabetes, Tameside Hospital NHS Foundation Trust, Ashton under Lyne, UK
  2. 2Department of Internal Medicine and Diabetes Centre, Laiko General Hospital of Athens, Athens, Greece
  1. Correspondence to Dr Edward B Jude, edward.jude{at}


Two patients without a history of diabetes mellitus but with a history of chronic alcohol abuse were referred to our foot clinic due to pain and deformity of the midfoot. On examination both of the feet of the first patient and the left foot of the second patient were swollen and warm but all the inflammatory markers were negative. Subsequent imaging revealed Charcot deformity and the patients were treated with casting and special shoes. The temperature and the swelling of the feet after the offloading improved. x-Rays which were performed 1 and 2 years after the diagnosis did not show any progression of the Charcot deformity.

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