MAL PERFORANTE PLANTAR PDF

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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