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The influence of external precipitating factors and peripheral neuropathy on the development and outcome of diabetic foot ulcers

Apelqvist, Jan LU ; Larsson, Jan and Agardh, Carl-David LU (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)
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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
2020-12-20 04:37:08
@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},
}