Diabetisches Malum perforans und diabetische neuropathische Osteoarthropathie

Diabetisches Malum perforans und diabetische neuropathische Osteoarthropathie „Wie ausgestanzt“ Unregelmäßig begrenzt Knochendeformierungen (Osteoarthropathie) Fußskelett normal Approximately 4 million Germans are dia- Schmerzlos Schmerzhaft betic. Owing to the long-term sequelae of di- Verlust von Sensibilität, Reflexen, Vibrationsempfindung Variable neurologische Befunde abetes, such as neuropathy and macroan- Pulse tastbar Fehlende Fußpulse giopathy, the number of patients with “dia- Hornhautschwielen häufig Kallus selten oder fehlend betic foot syndrome” is dramatically increas- Haut warm und rosig Haut kühl, blaß, livid ing. More than 100,000 diabetics per year Hautvenen dilatiert (AV-Shunts) Hautvenen kollabiert develop a foot ulcer, and approximately 15,000 undergo major limb amputation. The “malum perforans” is the classic manifesta- tion of diabetic foot syndrome, while osteo- herrscht, die Fußulzera seien Folge einer kann. Aufgrund der herabgesetzten Sen- arthropathy (“Charcot's foot”) is a rare but diabetischen Mikroangiopathie [19]. sibilität wird die Drucküberlastung serious complication. For both, the differen- nicht als Schmerz registriert, ebenso wie tial diagnosis may be difficult. Thus, the dif- Symptome und Befunde Verletzungen der Füße (z. B. Fremdkör- ferentiation between neuropathic and is- per im Schuh, Nagelstichverletzung) chemic foot ulcers is extremely important for Vgl. Tabelle 1. nicht bemerkt werden. therapy, while in osteoarthropathy the dif- Die autonome Neuropathie der ferentiation from bacterial infection is cru- Neuropathische http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Gefässchirurgie Springer Journals

Diabetisches Malum perforans und diabetische neuropathische Osteoarthropathie

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Publisher
Springer Journals
Copyright
Copyright © 2002 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Vascular Surgery
ISSN
0948-7034
D.O.I.
10.1007/s00772-002-0229-4
Publisher site
See Article on Publisher Site

Abstract

„Wie ausgestanzt“ Unregelmäßig begrenzt Knochendeformierungen (Osteoarthropathie) Fußskelett normal Approximately 4 million Germans are dia- Schmerzlos Schmerzhaft betic. Owing to the long-term sequelae of di- Verlust von Sensibilität, Reflexen, Vibrationsempfindung Variable neurologische Befunde abetes, such as neuropathy and macroan- Pulse tastbar Fehlende Fußpulse giopathy, the number of patients with “dia- Hornhautschwielen häufig Kallus selten oder fehlend betic foot syndrome” is dramatically increas- Haut warm und rosig Haut kühl, blaß, livid ing. More than 100,000 diabetics per year Hautvenen dilatiert (AV-Shunts) Hautvenen kollabiert develop a foot ulcer, and approximately 15,000 undergo major limb amputation. The “malum perforans” is the classic manifesta- tion of diabetic foot syndrome, while osteo- herrscht, die Fußulzera seien Folge einer kann. Aufgrund der herabgesetzten Sen- arthropathy (“Charcot's foot”) is a rare but diabetischen Mikroangiopathie [19]. sibilität wird die Drucküberlastung serious complication. For both, the differen- nicht als Schmerz registriert, ebenso wie tial diagnosis may be difficult. Thus, the dif- Symptome und Befunde Verletzungen der Füße (z. B. Fremdkör- ferentiation between neuropathic and is- per im Schuh, Nagelstichverletzung) chemic foot ulcers is extremely important for Vgl. Tabelle 1. nicht bemerkt werden. therapy, while in osteoarthropathy the dif- Die autonome Neuropathie der ferentiation from bacterial infection is cru- Neuropathische

Journal

GefässchirurgieSpringer Journals

Published: Aug 1, 2002

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