Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of Foot

Introduction: The ‘acclimatization time’ before temperature assessment for diagnosis and monitoring of active unilateral Charcot neuro-osteoarthropathy (CNO) of foot is not known. Therefore, we aimed to assess the appropriate acclimatization time for foot temperature at diagnosis and during follow-u...

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Main Authors: Jayaditya Ghosh, Raveena Singh, Ashu Rastogi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:https://journals.lww.com/10.4103/ijem.ijem_447_24
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author Jayaditya Ghosh
Raveena Singh
Ashu Rastogi
author_facet Jayaditya Ghosh
Raveena Singh
Ashu Rastogi
author_sort Jayaditya Ghosh
collection DOAJ
description Introduction: The ‘acclimatization time’ before temperature assessment for diagnosis and monitoring of active unilateral Charcot neuro-osteoarthropathy (CNO) of foot is not known. Therefore, we aimed to assess the appropriate acclimatization time for foot temperature at diagnosis and during follow-up assessment of patients with active CNO. Methods: Patients of diabetes with active unilateral CNO of foot were assessed for inter-feet temperature difference [affected foot–unaffected foot (°C)] at 10-, 30- and 45-minutes following shoe-off with a handheld infrared dermal thermometer. The primary objective was to assess the significance of different individual and paired time points for inter-feet temperature differences. Results: Overall, 30 patients were recruited and 96 paired inter-feet temperature difference readings were obtained. The median inter-feet temperature difference at 10 minutes was 3°C (2.4-4.4°C), 30 minutes was 3.2°C (2.5-4.45°C) and 45 minutes was 3.3°C (2.3-4.63°C) (P = 0.623). The correlation between paired temperature readings at 30 and 45 minutes (r = 0.914; P < 0.001) was better than that at 10 and 30 minutes (r = 0.724; P < 0.001). Conclusion: Paired inter-feet temperature difference obtained at 30 and 45 minutes following footwear removal is clinically-meaningful for the diagnosis and monitoring of active unilateral CNO of feet.
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spelling doaj-art-d414274cf403429f82266c0eb2bbf3af2025-08-20T03:31:31ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002025-05-0129330330710.4103/ijem.ijem_447_24Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of FootJayaditya GhoshRaveena SinghAshu RastogiIntroduction: The ‘acclimatization time’ before temperature assessment for diagnosis and monitoring of active unilateral Charcot neuro-osteoarthropathy (CNO) of foot is not known. Therefore, we aimed to assess the appropriate acclimatization time for foot temperature at diagnosis and during follow-up assessment of patients with active CNO. Methods: Patients of diabetes with active unilateral CNO of foot were assessed for inter-feet temperature difference [affected foot–unaffected foot (°C)] at 10-, 30- and 45-minutes following shoe-off with a handheld infrared dermal thermometer. The primary objective was to assess the significance of different individual and paired time points for inter-feet temperature differences. Results: Overall, 30 patients were recruited and 96 paired inter-feet temperature difference readings were obtained. The median inter-feet temperature difference at 10 minutes was 3°C (2.4-4.4°C), 30 minutes was 3.2°C (2.5-4.45°C) and 45 minutes was 3.3°C (2.3-4.63°C) (P = 0.623). The correlation between paired temperature readings at 30 and 45 minutes (r = 0.914; P < 0.001) was better than that at 10 and 30 minutes (r = 0.724; P < 0.001). Conclusion: Paired inter-feet temperature difference obtained at 30 and 45 minutes following footwear removal is clinically-meaningful for the diagnosis and monitoring of active unilateral CNO of feet.https://journals.lww.com/10.4103/ijem.ijem_447_24acclimatization timeactive charcot-neuro-osteoarthropathyinter-foot temperature
spellingShingle Jayaditya Ghosh
Raveena Singh
Ashu Rastogi
Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of Foot
Indian Journal of Endocrinology and Metabolism
acclimatization time
active charcot-neuro-osteoarthropathy
inter-foot temperature
title Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of Foot
title_full Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of Foot
title_fullStr Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of Foot
title_full_unstemmed Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of Foot
title_short Infrared Dermal Thermometry in Active Charcot Neuro-Osteoarthropathy of Foot
title_sort infrared dermal thermometry in active charcot neuro osteoarthropathy of foot
topic acclimatization time
active charcot-neuro-osteoarthropathy
inter-foot temperature
url https://journals.lww.com/10.4103/ijem.ijem_447_24
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AT raveenasingh infrareddermalthermometryinactivecharcotneuroosteoarthropathyoffoot
AT ashurastogi infrareddermalthermometryinactivecharcotneuroosteoarthropathyoffoot