Osteoarthrosis in type II diabetes mellitus, imaging approach. Number of cases

Authors

  • Alexander Sosa Frías Hospital Provincial Universitario Carlos Manuel de Céspedes. Bayamo.
  • Alina Jaqueline Vallejo Ramírez Hospital Provincial Universitario Carlos Manuel de Céspedes. Bayamo.
  • Ana Elvis Figueredo Molina Hospital Provincial Universitario Carlos Manuel de Céspedes. Bayamo.

Keywords:

Type 2 Diabetes Mellitus, Osteoarthritis, Diagnostic imaging.

Abstract

Introduction: chronic non-communicable diseases such as diabetes mellitus have increased due to the increasing age of the population and the high prevalence of unhealthy lifestyles such as smoking, physical inactivity and poor dietary habits. Recently studies confirm that diabetes mellitus stimulates the early appearance of osteoarthritis in the body, also in the spinal column, leading to central canal stenosis; Low back pain is a frequent cause of a visit to the doctor.
Case presentation: three patients with a long history of diabetes mellitus suffering from long-term low back pain to show the usefulness of imaging, nerve conduction, and laboratory tests as a tool in the differential diagnosis between osteoarthritis and noncompressive neuropathies. All cases have the lumbosacral region affected by osteoarthritis, especially by facet hypertrophy.

Discussion: The symptoms and signs in our studied patients are caused by low back pain, cramps and numbness. All three patients had a history of type 2 diabetes mellitus and were obese or overweight. Individually, the older patient had good glycemic control based on the European Diabetes Guide, the younger patient had poor glycemic control, and one of them had associated chronic kidney disease.

Conclusions: lumbar osteoarthritis with canal stenosis is a common cause of low back pain in our patients due to hypertrophy of the facet joint; therefore, we recommend imaging, nerve conduction, and physical examination as useful tools in the differential diagnosis between lumbar osteoarthritis and neuropathies due to type 2 diabetes mellitus. We suggest doing extensive research on the sign of early osteoarthritis in patients with diabetes mellitus in our facilities to increase the knowledge of this entity.

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Published

2020-03-19

How to Cite

1.
Sosa Frías A, Vallejo Ramírez AJ, Figueredo Molina AE. Osteoarthrosis in type II diabetes mellitus, imaging approach. Number of cases. RM [Internet]. 2020 Mar. 19 [cited 2025 Jun. 4];24. Available from: https://revmultimed.sld.cu/index.php/mtm/article/view/1874

Issue

VOL.24 (2020): Suplemento 1

Section

CASOS CLÍNICOS

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