By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders
3rd writer, Lee. J. Sanders, is the dep. of Veterans Affairs scientific heart, Lebanon, PA. bargains sensible and medical suggestion at the administration of long term foot difficulties in individuals with diabetes. Discusses analysis and therapy, either scientific and surgical. fine quality colour photographs illustrated a number of the problems. DNLM: Diabetic Foot--diagnosis.
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Extra resources for A Practical Manual of Diabetic Foot Care
10 An area of thickened rubbery white skin between the toes (tinea pedis). Fig. 9 Amelanotic melanoma. Scrapings can be taken and sent to the laboratory for identification of the infective organism but usually a clinical diagnosis is made. Treatment of tinea pedis Canesten spray (clotrimazole 1% in isopropyl alcohol) applied topically is best for interdigital areas. For other parts of the foot Canesten cream can be applied. Treatment should be continued for at least 2 weeks after resolution of symptoms to avoid relapse.
In Veves A, Giurini JM, LoGerfo FW (eds). The Diabetic Foot. Medical and Surgical Management. Humana Press, New Jersey, USA, 2002, pp. 134. UK Prospective Diabetes Study Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998; 352: 837-53. UK Prospective Diabetes Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes.
It is wise to refer without delay to the dermatologist all pigmented lesions that develop de novo, change in size, shape or colour, or develop inflammation, ulceration and bleeding. CASE STUDY Squamous cell carcinoma A 50-year-old female with undiagnosed type 2 diabetes, applied Bazooker, a proprietary wart remedy, to a small brown tender papule over her right third metatarsal head. Within a few days she developed a cutaneous erosion which failed to heal for 9 months and became increasingly painful (Fig.
A Practical Manual of Diabetic Foot Care by Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders