Pie diabético
- Emilia Gómez Hoyos
- Ana Esther Levy Benasuly
- José Ángel Díaz Pérez
- Martín Cuesta Hernández
- María Carmen Montañez Zorrilla
- Alfonso Luis Calle Pascual
ISSN: 1577-3566
Year of publication: 2012
Volume: 13
Issue: 4
Pages: 119-129
Type: Article
More publications in: Seminarios de la Fundación Española de Reumatología
Abstract
Diabetic foot includes a group of syndromes in which the interaction among loss of protective sensation due to sensory peripheral neuropathy, a change in pressure spots due to motor neuropathy, autonomic dysfunction, and decreased blood supply due to peripheral vascular disease can lead to the occurrence of wounds or ulcers usually related to minimal injuries that are usually unnoticed. Diabetic foot is associated with higher morbidity and a high risk of amputation of the foot or limb. These situations can be avoided with an appropriate prevention program, based on the early detection of diabetic neuropathy and assessment of the associated risk factors in addition to structured patient education. Also important are optimal treatment of the acute injury, with specific antibiotics and foot care measures that encourage early and effective healing.