Incidence of Peripheral Arterial Disease in Diabetic Foot Infection Patients: A Prospective Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1
Abstract
A prospective study was conducted on 30 patients with Diabetes. Patients were evaluated on the basis of history, clinical examination, laboratory investigations, conventional radiological investigations and Arterial Doppler lower limb and Ankle Brachial Index assessment of the affected foot. The incidence and prevalence of peripheral vascular disease (PAD) increases with age in both diabetic and non-diabetic subjects and, in those with diabetes, increases with duration of diabetes1 Given the inconsistencies of clinical findings in the diagnosis of PAD in diabetic patient, measurement of ankle brachial pressure index (ABPI) has emerged as the relative simple, non-invasive and inexpensive diagnostic tool of choice. An ABPI < 0.9 is not only diagnostic of PAD even in asymptomatic patients, but is also an independent marker of increased morbidity and mortality from cardiovascular disease. In our study all thirty (100%) patients presented with ulcer. Twenty-two (73%) presented with single ulcer while eight (27%) patients presented with multiple ulcers. 86% patients had inadequate blood sugar control. 40% of patients presented with Grade II ulcers (according to Wagner’s Classification) followed by Grade III (37.5%) and Grade I (16%). Radiological examination of the foot showed changes in 17 (56%) patients. Commonest finding was osteomyelitis 7(23%) patients. 18(60%) patients were found to have peripheral arterial disease diagnosed on the basis of decreased ABPI (ankle brachial pressure index). One patient (3%) had ABPI abnormally high (value >1.4) due to calcification of wall and 11 (36%) had normal ABPI. Lower values of ABPI were observed with worsening of ulcer grade on Wagner Classification. We conclude that ABPI is very important non invasive adjunct for diagnosis of peripheral artery disease in diabetic patients.
Authors and Affiliations
Dr V. K. Sharma
Keywords
Related Articles
- EP ID EP273367
- DOI -
- Views 84
- Downloads 0
Primary Squamous Cell Carcinoma of the Renal Parenchyma with Chronic Pyelonephritis – A Rare Case Report
Primary squamous cell carcinoma of the renal parenchyma is a very rare entity.This is probably the first case of Primary squamous cell carcinoma of the renal parenchyma associated with chronic pyelonephritis in a 55 year...
CO Relation between the CA 125 and Staging and Histopathological Type of Ovarian Cancer
Introduction: This study intends to find the correlation between CA125 and the staging and histopathology of ovarian tumours. Methods: patients with ovarian tumours between January 2009 and January 2014 were included. Se...
Evaluation of Genotoxic, Embryotoxic and Teratogenic Potential of Paracetamol in Humans and Mice
Paracetamol being an over the counter drug is widely used as an analgesic. Though it was considered to be safe earlier, recent studies have shown that at high doses it does have a deleterious effect on humans as well as...
Effect of Mobile Radiation in Micro Organism
Exposure of mobile phone radiation is harmful to human beings and other living system. This study was based on the effect of mobile phone radiation on the antibiotic sensitivity in different bacteria. This study show tha...
Seizure Semiology and Imaging Correlation
Seizure is defined as paroxysmal event due to abnormal excessive hyper synchronus discharges from an aggregate of CNS neurons. Although variety of factors influence the incidence and prevalence of seizure, approximately...