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J Am Acad Dermatol. 2014 Jan;70(1):21.e1-24; quiz 45-6. doi: 10.1016/j.jaad.2013.07.048.

Diabetic foot ulcers: Part II. Management.

Author information

  • 1Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada. Electronic address: afsaneh.alavi@utoronto.ca.
  • 2Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Department of Medicine (Dermatology) and Public Health, University of Toronto, Toronto, Ontario, Canada; Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada.
  • 3Clinic for Cardiovascular Surgery, University Hospital of Zurich, Zurich, Switzerland.
  • 4Wound-Healing Clinic, Mississauga, Ontario, Canada.
  • 5Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada.
  • 6Department of Surgery, The University of Arizona College of Medicine/SALSA, Tucson, Arizona.
  • 7Faculty of Nursing, Queen's University, Kingston, Ontario, Canada.
  • 8Department of Prosthetics and Orthotics, University of Zurich, Zurich, Switzerland.
  • 9Excelsior College, School of Nursing, Albany, New York.
  • 10Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, Florida.

Abstract

The management of diabetic foot ulcers can be optimized by using an interdisciplinary team approach addressing the correctable risk factors (ie, poor vascular supply, infection control and treatment, and plantar pressure redistribution) along with optimizing local wound care. Dermatologists can initiate diabetic foot care. The first step is recognizing that a loss of skin integrity (ie, a callus, blister, or ulcer) considerably increases the risk of preventable amputations. A holistic approach to wound assessment is required. Early detection and effective management of these ulcers can reduce complications, including preventable amputations and possible mortality.

Copyright © 2013 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

PMID:
24355276
[PubMed - indexed for MEDLINE]
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