Titre du document / Document title

Xerosis und Kallusformation als Schlüssel für das diabetische Fußsyndrom : Problemstellung und Management aus dermatologischer Sicht = Xerosis and callus formation as a key to the diabetic foot syndrome : Dermatologic view of the problem and its management

Auteur(s) / Author(s)

PAVICIC Tatjana ; KORTING Hans Christian ;

Résumé / Abstract

The diabetic foot syndrome is a major complication of diabetes mellitus.The two most important pathophysiologic factors are peripheral arterial occlusion and peripheral neuropathy. The cutaneous lesion is a plantar ulcer, often accompanied by soft tissue and bone infections which can require amputation. Triggers include poorly fitting shoes, poor foot care, or overlooked foreign bodies, often coupled with a structural foot deformity. Increased plantar pressure, especially beneath the metatarsal heads, and the resultant callus play an important role. The patients often already have xerosis of the plantar skin with scales, fissures, erosions and impaired barrier function, complicating the situation. Prompt neurologic and vascular diagnostic studies, coupled with routine examination of the feet and primary prophylactic measures are most important.The most important therapeutic goals are optimal control of the diabetes mellitus, relieving pressure points and avoiding or reducing callus formation.

Revue / Journal Title

Journal der Deutschen Dermatologischen Gesellschaft   ISSN 1610-0379 

Source / Source

2006, vol. 4, n^o11, pp. 935-941 [7 page(s) (article)]

Langue / Language

Allemand
Revue : Anglais

Editeur / Publisher

Blackwell, Berlin, ALLEMAGNE  (2003) (Revue)

Mots-clés d'auteur / Author Keywords

• Diabetes mellitus ; Diabetic neuropathy ; Peripheral arterial occlusion ; Plantar foot pressure ; Callus ; Urea ;

Localisation / Location

INIST-CNRS, Cote INIST : 4156, 35400014304324.0020