PRESENTATION OF DIABETIC FOOT: A STUDY AT A TERTIARY CARE CENTER

Dr. Elroy Saldanha; Dr. Reshmina C.C. D Souza; Dr. Erel A. I Diaz; Dr. Rithesh Joseph D’Cunha

Volume : V, Issue : X, October - 2015

PRESENTATION OF DIABETIC FOOT: A STUDY AT A TERTIARY CARE CENTER

Dr. Elroy Saldanha, Dr. Reshmina C. C. D Souza, Dr. Erel A. I Diaz, Dr. Rithesh Joseph D Cunha

Abstract :

Background: Diabetes Mellitus is most commonly diagnosed in those over 40 years of age with neuropathy being major cause for diabetic foot complications in India. Here in this study, we intended to find out varied mode of presentation of diabetic foot infections Materials and methods: Prospective study was carried with 200 patients admitted for diabetic foot, clinical examination, radiological and blood investigation was done. Results: 46% of patients were in 46–55 age group with predominantly seen in males (64%) who had history of diabetes for past 25 years with major presentation as gangrene of toes and abscess with 25% and 27% respectively. Discussion: Ulceration, infection, gangrene and followed by lower extremity amputation are complications often encountered in patients with diabetes mellitus. It is difficult to assess the severity of ischemia by history and physical examination and combination of different types of non–invasive laboratory and radiological investigation like duplex ultrasonography may be necessary.