Journal of the American Podiatric Medical Association · 2009
Preclinical symptoms of the diabetic foot.
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Bekler Halil I, Ertav Aytug
Аннотация
BACKGROUND: The diabetic foot is one of the main complications of diabetes mellitus, with a high risk of minor or major amputation. The preclinical foot lesions of patients without foot complaints were compared with healthy controls and analyzed.
METHODS: This study was conducted with 89 diabetic patients from an endocrinology clinic and 35 nondiabetic control patients. The patients were asked about the presence, types, and durations of pedal complaints; acquired and congenital foot deformities; and atrophy. Patient gaits were inspected for any swelling; skin and nail changes were also recorded. Ranges of articular motion, deformities, crepitations, and any painful perceptions were noted.
RESULTS: The differences between groups were significant for sensorial defects, joint changes of the foot, nail abnormalities, and neuropathic changes.
CONCLUSIONS: Every patient with an established diagnosis of diabetes can be considered a potential sufferer of diabetic foot for whom medical therapy and foot protection programs are indicated.
METHODS: This study was conducted with 89 diabetic patients from an endocrinology clinic and 35 nondiabetic control patients. The patients were asked about the presence, types, and durations of pedal complaints; acquired and congenital foot deformities; and atrophy. Patient gaits were inspected for any swelling; skin and nail changes were also recorded. Ranges of articular motion, deformities, crepitations, and any painful perceptions were noted.
RESULTS: The differences between groups were significant for sensorial defects, joint changes of the foot, nail abnormalities, and neuropathic changes.
CONCLUSIONS: Every patient with an established diagnosis of diabetes can be considered a potential sufferer of diabetic foot for whom medical therapy and foot protection programs are indicated.