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Small vessel disease: a cause of foot ulceration in the neuropathic foot?

✍ Scribed by Tesfaye, S. ;Gill, G. V.

Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
292 KB
Volume
14
Category
Article
ISSN
1357-8170

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✦ Synopsis

Abstract

There is increasing evidence for the involvement of small vessel disease in the aetiology of diabetic foot ulceration. We describe two diabetic neuropathic patients with toe ulceration despite bounding foot pulses, normal ankle brachial pressure indices and arteriograms. In both patients, toe pulp temperatures were markedly lower than mid‐foot temperatures. The presence of digital ischaemia in the absence of macroangiopathy suggests small vessel disease which may play an important role in the aetiology of diabetic foot ulceration. Furthermore, such patients should be given appropriate advice regarding foot care and shoe‐wear in order to reduce the risk of digital ulceration.

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Blood flow in diabetics with foot lesion
Blood flow in diabetics with foot lesions due to β€˜small vessel disease’
✍ Mr. S. T. Irwin; J. Gilmore; S. McGrann; J. Hood; J. A. Allen πŸ“‚ Article πŸ“… 1988 πŸ› John Wiley and Sons 🌐 English βš– 742 KB

Blood flow was measured in the feet and toes of 23 diabetics, 7 controls and 6 non-diabetic neuropathic controls, using venous occlusion plethysmography. All of the diabetics showed a characteristic flow abnormality with mild hyperperfusion of the foot at rest but impaired peak flow following arteri