Malum perforans plantar also known as neuropathic ulcer is the most serious complication of the diabetic neuropathy. This ulcerous lesion in the diabetic foot can have its origin in the motor, sensory or autonomic neuropathy:. Any osseous deformity which does not correctly adapt to the shoe leads to an extremely high risk of the appearance of a neuropathic ulcer. In a diabetic patient, the lack of sensitivity together with an anatomical deformity of the foot will turn into a neuropathic ulcer through hyper-pressure in the short term. These small dermic alterations may develop negatively and become the prelude of a neuropathic ulcer. The appearance of cracks in the skin of the diabetic patient, is a risk of infection and more so if they are accompanied by a vascular disorder.
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The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Nine issues are published each year, including mostly originals, reviews and consensus documents. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.
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Archive for category: Diabetic foot