Neuropathic diabetic foot ulcers
AJM Boulton, RS Kirsner… - New England Journal of …, 2004 - Mass Medical Soc
AJM Boulton, RS Kirsner, L Vileikyte
New England Journal of Medicine, 2004•Mass Medical SocA 58-year-old man with type 2 diabetes mellitus has an asymptomatic plantar ulcer on the
left foot that remains unhealed after four months. The ulcer measures 2 by 1 cm and is
surrounded by callus under the first metatarsal head. Neurologic examination reveals loss of
sensation of touch, pinprick, and vibration below the midcalf level bilaterally and the
absence of ankle reflexes; the foot pulses are normal. How should this patient be evaluated
and treated?
left foot that remains unhealed after four months. The ulcer measures 2 by 1 cm and is
surrounded by callus under the first metatarsal head. Neurologic examination reveals loss of
sensation of touch, pinprick, and vibration below the midcalf level bilaterally and the
absence of ankle reflexes; the foot pulses are normal. How should this patient be evaluated
and treated?
A 58-year-old man with type 2 diabetes mellitus has an asymptomatic plantar ulcer on the left foot that remains unhealed after four months. The ulcer measures 2 by 1 cm and is surrounded by callus under the first metatarsal head. Neurologic examination reveals loss of sensation of touch, pinprick, and vibration below the midcalf level bilaterally and the absence of ankle reflexes; the foot pulses are normal. How should this patient be evaluated and treated?
The New England Journal Of Medicine