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

Loading next page...
Copyright © 2002 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Vascular Surgery
Publisher site
See Article on Publisher Site

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial