What is diabetic osteolysis?
Diabetic osteolysis is a condition specifically occurring in diabetics. The osteolysis is characterized by osteoporosis and variable degrees of resorption of the distal metatarsal bones and proximal phalanges of the feet (a case report has described diabetic acroosteolysis as well). Pain is variable. Radiographs have a characteristic “licked candy” appearance. The pathogenesis is unclear, although autonomic neuropathy has been postulated to play a role. The primary consideration in the differential diagnosis is osteomyelitis. Treatment is conservative and includes protected weight-bearing. The process may terminate at any stage and in some cases may completely resolve.
