Diabetic ulcers

September 21, 2012 | By | Reply More
Diabetic ulcers
These commonly occur in conjunction with arterial disease. They represent large- and small-vessel disease with an impaired ability to heal and increased susceptibility to infection. Ulcers may occur in the arterial distribution, particularly at pressure points, and involve deep tissue infections (such as plantar abscesses) and osteomyelitis. The associated diabetic neuropathy with Charcot’s joints presents with deformed feet and joints that are susceptible to ulceration.
  • Management involves good diabetic and ulcer care, which includes orthotist help with shoes and gait.
  • Surgery aims to avoid major amputation but requires debridement of necrotic tissue, drainage of abscesses, and excision of dead tissue, often involving bone as ‘ray’ excisions of toes.

Category: Pathology

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