A Study on the Prevalance of Peripheral Vascular Disease in Diabetic Foot Ulcer Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
INTRODUCTION : Prevalance of peripheral vascular disease in diabetic patients is difficult to diagnose. Patients with both entities are likely to develop ischemic non healing ulcers in lowerlimbs which may progress to gangrene and significant morbidity and mortality.Perception of muscle pain in the lowerlimb on exercise which is the most common symptom of PVD is blunted in diabetic patients due to peripheral neuropathy. And this makes it difficult totreat PVD in diabetic patients due to late presentation. AIMS AND OBJECTIVES To evaluate the occurrence of PVD in diabetic foot ulcer patients. Ankle Brachial Index measurement in diabetic patients attending surgery outpatient department for foot ulcer and associated complaints could help early detection of PVD thus making the initiation of early therapy and reducing the risk of critical limb ischemia and limb loss possible. MATERIALS AND METHODS A cross sectional study in 100 patients in our college hospital.ABI<0.9 taken as cut off to identify the patient as having PVD. RESULTS Out of 100 diabetics 12 patients found to have PVD with ABI<0.9.All of them were diabetic for more than 6 years.Early detection of PVD in diabetics thus allows early treatment in those patients even before the emergrnce of complications.
Authors and Affiliations
Dr. G. Rajashok M. S. , Dr. P. Sumathi M. S.
Keywords
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