The influence of external precipitating factors and peripheral neuropathy on the development and outcome of diabetic foot ulcers
(1990) In Journal of Diabetic Complications 4(1). p.21-25- Abstract
- The influence of external precipitating factors and the presence of peripheral neuropathy on the development and outcome of foot ulcers were evaluated in 314 consecutive diabetic patients. All patients were treated by the same foot care team. Each patient was represented by one ulcer, and primary healing was defined as intact skin for at least six months. External precipitating factors were identifiable in 264 of 314 patients. The most common factors were ill fitting shoes/socks, acute mechanical trauma, stress ulcer, and paronychia. The highest primary healing rates were seen in lesions caused by paronychia (84%) and stress ulcer (76%). Clinical signs of sensory and muscular disturbances were seen in the majority of patients (96%).... (More)
- The influence of external precipitating factors and the presence of peripheral neuropathy on the development and outcome of foot ulcers were evaluated in 314 consecutive diabetic patients. All patients were treated by the same foot care team. Each patient was represented by one ulcer, and primary healing was defined as intact skin for at least six months. External precipitating factors were identifiable in 264 of 314 patients. The most common factors were ill fitting shoes/socks, acute mechanical trauma, stress ulcer, and paronychia. The highest primary healing rates were seen in lesions caused by paronychia (84%) and stress ulcer (76%). Clinical signs of sensory and muscular disturbances were seen in the majority of patients (96%). Sensory neuropathy, evaluated with a biothesiometer, was more common among patients who had had amputations or, died subsequently compared to those who healed. This study suggests that a majority of diabetic foot ulcers might have been prevented, since a precipitating external factor was identified in four of five patients, stressing the importance of preventive foot care. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1105169
- author
- Apelqvist, Jan LU ; Larsson, Jan and Agardh, Carl-David LU
- organization
- publishing date
- 1990
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Diabetic Complications
- volume
- 4
- issue
- 1
- pages
- 21 - 25
- publisher
- Elsevier
- external identifiers
-
- pmid:2141841
- scopus:0024985047
- ISSN
- 0891-6632
- DOI
- 10.1016/0891-6632(90)90060-I
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Diabetes and Endocrinology (013241530), Unit on Vascular Diabetic Complications (013241510)
- id
- 5188e160-fc32-4fcf-bfbf-64777f675829 (old id 1105169)
- date added to LUP
- 2016-04-01 17:01:11
- date last changed
- 2024-03-29 08:10:32
@article{5188e160-fc32-4fcf-bfbf-64777f675829,
abstract = {{The influence of external precipitating factors and the presence of peripheral neuropathy on the development and outcome of foot ulcers were evaluated in 314 consecutive diabetic patients. All patients were treated by the same foot care team. Each patient was represented by one ulcer, and primary healing was defined as intact skin for at least six months. External precipitating factors were identifiable in 264 of 314 patients. The most common factors were ill fitting shoes/socks, acute mechanical trauma, stress ulcer, and paronychia. The highest primary healing rates were seen in lesions caused by paronychia (84%) and stress ulcer (76%). Clinical signs of sensory and muscular disturbances were seen in the majority of patients (96%). Sensory neuropathy, evaluated with a biothesiometer, was more common among patients who had had amputations or, died subsequently compared to those who healed. This study suggests that a majority of diabetic foot ulcers might have been prevented, since a precipitating external factor was identified in four of five patients, stressing the importance of preventive foot care.}},
author = {{Apelqvist, Jan and Larsson, Jan and Agardh, Carl-David}},
issn = {{0891-6632}},
language = {{eng}},
number = {{1}},
pages = {{21--25}},
publisher = {{Elsevier}},
series = {{Journal of Diabetic Complications}},
title = {{The influence of external precipitating factors and peripheral neuropathy on the development and outcome of diabetic foot ulcers}},
url = {{http://dx.doi.org/10.1016/0891-6632(90)90060-I}},
doi = {{10.1016/0891-6632(90)90060-I}},
volume = {{4}},
year = {{1990}},
}