| Severe but preventable foot burn injury in diabetic patients with peripheral neuropathy. | |
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MedLine Citation:
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PMID: 18758423 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Due to the sensory loss in the lower extremities, accidental foot injuries may develop in diabetic patients with distal sensorimotor polyneuropathy. Unusual etiologies of foot injury may be of interest. CASE REPORTS: Patient 1, a 51-year-old type 2 diabetic patient, was observed with a burn injury of the digits I-V of the right foot due to an unperceived thermal injury while working at a house construction site and wearing shoes. Patient 2, a 66-year-old type 2 diabetic patient, tried to treat a small dermal lesion caused by improper footwear by using a hot paraffin footbath, but during this unusual self-treatment a painless and unperceived burn injury developed. Bed rest, local disinfection, antibiotics, and minimal surgical intervention (partial amputation, debridement) were applied. After long healing periods, both patients recovered with acceptable residual findings. CONCLUSIONS: Severe clinical consequences of foot burn injuries of unusual etiology may occur in diabetic patients with neuropathy. To prevent severe foot burn injuries, continuous education should be provided for diabetic patients with sensory loss of the lower extremities due to neuropathic complications. |
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Authors:
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Zsuzsanna Putz; Judit Nadas; Gyorgy Jermendy |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Medical science monitor : international medical journal of experimental and clinical research Volume: 14 ISSN: 1643-3750 ISO Abbreviation: Med. Sci. Monit. Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-09-01 Completed Date: 2008-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609063 Medline TA: Med Sci Monit Country: Poland |
Other Details:
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Languages: eng Pagination: CS89-91 Citation Subset: IM |
Affiliation:
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3rd Medical Department, Bajcsy-Zsilinszky Hospital, Budapest, Hungary. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Burns* / etiology, prevention & control Diabetic Foot* / complications, physiopathology Foot Injuries* / etiology, prevention & control Humans Male Middle Aged |
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