Sonographic evaluation of superficial femoral arterial calcification in diabetic patients with and without nephropathy in Bangladeshi population.

Dr. Farzana Shegufta; Dr. Farzana Yesmin Khan; Dr.Md.Shahjamal Khan

Volume : VII, Issue : III, March - 2018

Sonographic evaluation of superficial femoral arterial calcification in diabetic patients with and without nephropathy in Bangladeshi population.

Dr. Farzana Shegufta, Dr. Farzana Yesmin Khan, Dr. Md. Shahjamal Khan

Abstract :

Type–2 diabetes mellitus is a common metabolic disease associated with many co–morbidities including nephropathy. Diabetic nephropathy is one of the most serious complications leading to end stage renal failure(ESRD) and leading cause of morbidity and mortality among diabetic patients in Bangladesh. Vascular calcification is a well known complication of ESRD and one of the main predictors for increased cardiovascular morbidity and mortality in these patients. Arterial disease in diabetic patients with nephropathy is characterized by extensive medial arterial calcification (MAC).The aim of the study to evaluate the presence of calcification & to compare the severity of calcification in tunica media of Superficial femoral arteries(SFA)in diabetic patients with and without nephropathy. This cross sectional study was carried out in Radiology & Imaging department of BIRDEM Hospital ,Dhaka during July 2013 to June 2014.For this purpose ,a total number of 111 Type–2 diabetic subjects with and without nephropathy were considered as group I(diabetic subjects with nephropathy) and group II(diabetic subjects without nephropathy). Ultrasonogram was done in all these patients. From the findings of present study it can be concluded that sonographically detected tunica medial arterial calcification of superficial femoral arteries is significantly higher in patients with diabetic nephropathy in compare to patients without nephropathy. Ultrasonography (USG) is capable of detection of subtle & early medial arterial calcification which allows early detection of vascular abnormalities,so that intensive treatment can be started early and timely to modify the subsequent clinical course.