www.podiatrym.com NOVEMBER/DECEMBER 2015 | PODIATRY MANAGEMENT 111 it is imperative to have a caregiver or family member to examine the feet of a diabetic on a daily basis. Ulcerations and infections may go untreated, until discoloration due to the development of cellulitis occurs, eventually leading to more severe situations, specifically gangrene and necrosis. In 1880, Louis Pasteur claimed, ...

This study assessed whether painful diabetic neuropathy is associated with abnormal sympathetic nervous function in the affected limbs. Nine patients with diabetes (four men, five women; age 61 +/- 7 years) and painful peripheral neuropathy of the feet, but without evidence of generalized autonomic neuropathy, underwent intravenous infusion of tritiated norepinephrine (NE) and sampling of arter...

Wohlfahrtiimonas chitiniclastica are aerobic, non-motile, gram-negative rods, first described by Toth et al. in 2008. A small number of cases W. infections have been reported worldwide. These bacteria transmitted through fly larvae open wounds skin and/or mucosal surfaces on the host. is pathogenic to humans and can cause severe diseases like septicemia osteomyelitis. Herein, we report identifi...

Tinea pedis (TP) may lead to the development of foot ulcers in diabetic patients; thus, its prevention in diabetic patients is important. TP occurs after dermatophytes on the skin scales of TP patients attach to the feet. Therefore, it is necessary to remove the scales and dermatophytes, and this can be performed using various methods, including foot washing. This study aimed to objectively exa...

BACKGROUND Sudomotor dysfunction is manifested clinically as abnormal sweating leading to dryness of feet skin and increased risk of foot ulceration. The aim of this study was to test the performance of foot electrochemical skin conductance (ESC) to detect diabetic peripheral neuropathy and the risk of foot ulceration against traditional methods in Saudi patients with diabetes mellitus. METHO...

OBJECTIVE Verrucous skin lesions on the feet in diabetic neuropathy is a condition usually induced by chronic mechanical stimulation of the feet of patients with diabetic neuropathy and usually occurs at weight-bearing sites. We here present a rare case involving a man with verrucous skin lesions on the feet in diabetic neuropathy at an unusual, non-weight-bearing site. METHODS A 58-year-old ...

Pain thresholds to a pinch stimulus were measured at eight sites on the dorsum of both feet from 17 diabetic patients. Sixteen feet had neuropathic ulcers and seven had Charcot arthropathy. Vibration perception thresholds, radial nerve action potentials, muscle action potentials of flexor digitorum brevis, autonomic cardiovascular reflexes and reflex sweat output were also measured. Pinch pain ...

BACKGROUND Management of large and deep heel ulcers (LDHUs) is a challenge in patients with diabetic foot lesions. We assessed outcomes of a treatment protocol to save feet with LDHUs from amputation. METHODS We managed LDHUs (larger than 3 cm(2)) in diabetic feet using a multidisciplinary approach consisting of medical and surgical management, including revascularization and amputation, if n...