Understanding diabetic cheiroarthropathy: a focus on clinical presentation
Elijah M Persad-Paisley1, Chanbin Lee1, Reena A Bhatt1
1Division of Plastic Surgery, Warren Alpert Medical School of Brown University, Providence, RI 02903, United States.
Journal of Surgical Case Reports
|March 11, 2024
Summary
Diabetic cheiroarthropathy (DCA) is a rare diabetes complication causing joint stiffness due to collagen damage. Early diagnosis and glucose control can help manage symptoms and prevent further complications.
Area of Science:
- Endocrinology
- Rheumatology
- Diabetology
Background:
- Diabetic cheiroarthropathy (DCA) is an underdiagnosed complication of uncontrolled diabetes mellitus.
- It results from non-enzymatic collagen glycation, leading to microvascular damage and joint stiffness.
Observation:
- A 55-year-old male with type 2 diabetes presented with chronic joint stiffness and immobility.
- The patient was diagnosed with diabetic cheiroarthropathy.
Findings:
- The case highlights the clinical presentation of DCA.
- Non-enzymatic glycation of collagen is the underlying pathophysiology.
Implications:
- Early diagnosis of DCA is crucial for effective management.
- Optimal glycemic control can mitigate joint stiffness and prevent vascular complications.
- DCA management may involve a multidisciplinary approach addressing glycemic control and joint mobility.
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