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Diabetic Foot

  • Ana Cecilia Parise,
  • Nelly Marina Carrasco,
  • María Gala Santini Araujo

摘要

Diabetes Mellitus (DM) is a common disease and a serious world health problem. Diabetic foot disease (DFD) comprises ulcerative and nonulcerative foot pathologies. The foot is at risk in diabetic patients suffering frequent and repetitive trauma because of foot deformities, inadequate footwear and the lack of sensory protection. Lesions in the diabetic foot (DF) imply a high personal, social, medical and financial cost; and it is one of the preventable complications in the evolution of DM. The pathogenesis of diabetic foot ulcers (DFU) relies on a triad of factors including neuropathy, trauma with secondary infection, and arterial occlusive disease. The importance of glycemic management cannot be underestimated. Diabetic foot infections (DFIs) are associated with a high rate of morbidity, demanding several emergency services or ambulatory care referrals, daily wound care, antibiotic medication, and surgical procedures. DFIs are still the most common diabetic complication that necessitates hospitalization, as well as the most common cause of LEA. Interdisciplinary clinical assessment and treatment are mandatory.