Clinical Analysis of Thirty-eight Cases of Diabetic Foot Gangrene

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  • 糖尿病性壊疽３８例の臨床的検討
  • 統計 糖尿病性壊疽38例の臨床的検討
  • トウケイ トウニョウビョウセイ エソ 38レイ ノ リンショウテキ ケントウ

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Abstract

Thirty-eight patients presented with diabetic foot gangrene during past ten years. The ratio of males to females was about 2.8:1 and their mean age was 63.2 years. Many of them had long histories of poorly-controlled diabetes. The frequencies of diabetic complications were high, including retinopathy (74%), neuropathy (68%), nephropathy (58%), and arteriosclerosis obliterans (18%). Nine cases developed secondarily from tylosis and clavus, most of which had been ill-treated by themselves. The patients were treated conservatively (89%) or surgically (11%). Amputation distal to the tarsometatarsal joint was performed in all the surgical cases. Conservative treatment was effective in most of the cases when bones and joints were not involved.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 70 (1), 67-70, 2008

    Western Division of Japanese Dermatological Association

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