By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders
3rd writer, Lee. J. Sanders, is the dep. of Veterans Affairs scientific heart, Lebanon, PA. deals functional and medical suggestion at the administration of long term foot difficulties in individuals with diabetes. Discusses prognosis and remedy, either clinical and surgical. top quality colour photographs illustrated a few of the problems. DNLM: Diabetic Foot--diagnosis.
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Extra info for A Practical Manual of Diabetic Foot Care
7) • Proximal subungual onychomycosis which is secondary to chronic paronychia caused by infection with yeasts of Candida species and is often associated with interdigital candidiasis • Superficial white onychomycosis which is caused by Trichophyton mentagrophytes and is relatively uncommon • Total dystrophic onychomycosis where the whole of the nail plate is destroyed is a consequence of any of the first three types. Onychomycosis can cause chronic pain, physical disability and secondary bacterial infection.
Areas of varicose eczema may break down and develop into venous leg ulcers. Fig. 14 This patient became sensitized to his socks. Fig. 15 Dermatitis caused by allergy to a dressing. Psoriasis Psoriasis usually affects the sole rather than the dorsum of the foot, with epidermal thickening and erythematous scaling lesions (Fig. 16). Pustular psoriasis presents with recurrent crops of sterile pustules with erythema distributed on the sole and lateral border of the foot. Psoriasis is associated with nail lesions including lifting of nail plate with onycholysis.
Teaching diabetic foot care effectively. J Am Podiatr Med Assoc 1997; 87: 318-20. 3 stag2 e Stage : 2: the high-ri ean o more the heat o' th' sun. Golden lads and girls all must, As chimney sweepers, come to dust. (Cymbeline, IV, ii, William Shakespeare) PRESENTATION AND DIAGNOSIS The diabetic foot enters stage 2 when it has developed one or more of the following risk factors for ulceration: neuropathy, ischaemia, deformity, swelling and callus. These risk factors may not cause symptoms. Patients do not, thus, report problems.