Neuropathy, or nerve disease, is one of the most common complications of diabetes affecting about half of the diabetic population. Its implications can be severe: foot ulcers leading to amputations and disabling chronic pain.
Cultures of Diabetic Foot Ulcers Without Clinical Signs of Infection Do Not Predict Outcomes Gardner SE 1 , Haleem A 2 , Jao YL 3 , Hillis SL 4 , Femino JE 5 , Phisitkul P 5 , Heilmann KP 2 , Lehman SM 3 , Franciscus CL 6 . 1 College of Nursing, The University of Iowa, Iowa City, IA email@example.com
Diabetic Foot: A Cinderella Specialty, Needs Team Approach : SAN FRANCISCO — Results from 2 new studies in diabetes-related foot complications indicate how vital it is for healthcare professionals to adopt a multidisciplinary team approach when it comes to managing this often-neglected complication of diabetes. The findings were reported at the American Diabetes Association (ADA) 2014 Scientific Sessions earlier this week. In the first study, a retrospective look back at 10 years of treatment of underserved populations in a single center, Merribeth Bruntz, DPM, from the Denver Health Medical Center, Colorado, reported a staggering reduction in the number of amputations after she established a limb-salvage program in her institution.
The most frequent causes of leg ulcers include venous incompetency (superficial and deep), arterial insufficiency, trauma, vasculitis, and neoplasm. Leg ulcers from injury by stingrays are quite rare. In this case report, we describe a leg ulcer caused by a stingray sting complicated by infection, which healed completely without surgery.
The course of mycosis fungoides (MF) is indolent except when transformation to a large T-cell lymphoma occurs. The diagnosis of transformed MF relies on the presence of more than 25% of large cells on biopsy of an MF lesion
Leprosy is a chronically evolving granulomatous disease caused by the bacillus Mycobacterium leprae , which exhibits tropism for peripheral and motor nerves and slow-growing inflammation that affects the peripheral nervous system, especially the sensory fibers. The aim of this study was to observe the relationship between peak pressure and abnormal sensitivity for the formation of plantar ulcers in patients with multibacillary (MB) and paucibacillary (PB) leprosy. A total of 51 individuals with leprosy were evaluated and classified as either MB or PB and then submitted to the Semmes-Weinstein sensitivity test; 20 normal individuals were examined as a control group and took a baropodometric test.
We evaluated the safety and efficacy of sulodexide, a biocompound of glycosamin-glicans, as adjunct medical therapy to percutaneous transluminal angioplasty (PTA) in diabetes mellitus (DM) patients with critical limb ischemia (CLI). We studied 27 consecutive DM patients with CLI successfully subjected to PTA who, on top of standard antiplatelet therapy, received sulodexide 25 mg bid, and were followed-up for 24 weeks, monitoring adverse events, transcutaneous oxygen tension (TcPO 2 ), ankle–brachial pressure index, pain, and ulcer dimension.