Trials in Neuropathic Diabetic Foot Ulceration: Time for a paradigm shift?
نویسندگان
چکیده
منابع مشابه
Trials in Neuropathic Diabetic Foot Ulceration
D iabetic foot ulceration is a serious and expensive complication with considerable morbidity that affects up to 15% of diabetic patients during their lifetime; moreover, 80% of amputations are preceded by foot ulcers (1). Despite these facts, Mason et al. (2) concluded in their systematic review of treatments for foot lesions that the evidence base for treatments is poor. Furthermore, they cri...
متن کاملMuscle perfusion scan for prediction of anticipated diabetic foot ulceration
Introduction:We evaluated the performance of muscle perfusion scan (MPS) to assess muscle perfusion reserve (MPR) for prediction of incident diabetic foot ulcerations (DFU). Methods: We recruited 41 diabetic patients without any history of DFU. Five mCi 99mTc-MIBI was injected intravenously during repetitive dorsal and plantar right foot flexions. T...
متن کاملIssues with Diabetic Foot Ulceration
The majority of foot ulcers appear to result from minor trauma in the presence of sensory neuropathy. This best describes the critical triad most commonly seen in patients with diabetic foot ulcers: peripheral sensory neuropathy, deformity, and trauma. All three of these risk factors are present in 65% of diabetic foot ulcers. Calluses, edema, and peripheral vascular disease have also been iden...
متن کاملNeuropathic Diabetic Foot Ulcers
From the Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine (A.J.M.B., L.V.), and the Departments of Dermatology and Cutaneous Surgery (R.S.K.), Epidemiology and Public Health (R.S.K.), and Psychology (L.V.), University of Miami School of Medicine, Miami; the Veterans Affairs Medical Center, Miami (R.S.K.); and the Department of Academic Medicine, Manchester Royal Infir...
متن کاملDiabetic Neuropathic Foot
Diabetes mellitus is a disease of complications and Diabetic Foot Syndrome is an important problem confronting society and health professionals. In USA one in four diabetics sustains foot ulcer and 40% of them lose their feet [1]. It accounts for 70% of non-traumatic amputations. In Joslin Diabetes Clinic, 25% admissions are due to foot ulcers. In Indian scene, the data is limited. In the study...
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ژورنال
عنوان ژورنال: Diabetes Care
سال: 2003
ISSN: 0149-5992,1935-5548
DOI: 10.2337/diacare.26.9.2689