The Ischemic/Septic Diabetic Hand: Review of Literature and a Case Report
Journal of Surgery
Volume 6, Issue 4, August 2018, Pages: 82-87
Received: May 1, 2018; Accepted: May 17, 2018; Published: Jun. 12, 2018
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Authors
Crisci Alessandro, Unit of Dermosurgery Cutaneous Transplantations and Hard-to-Heal Wound, “Villa Fiorita” Private Hospital, Aversa (CE), Italy; Institute for the Studies and Care of Diabetcs, Casagiove CE, Italy; School of Medicine, University of Salerno Italy, Fisciano SA, Italy
Lombardi Domenico, School of Medicine, University of Salerno Italy, Fisciano SA, Italy
Lombardi Luisa, Anesthesia and Resuscitation, Hospital “S. Maria della Pietà”, Nola (Na), Italy
Romano Giovanni, Unit of Dermosurgery Cutaneous Transplantations and Hard-to-Heal Wound, “Villa Fiorita” Private Hospital, Aversa (CE), Italy
Lombardi Guido, General Surgery, Hospital “S. Maria della Pietà”, Nola (Na), Italy
Crisci Michela, Faculty of Medicine and Surgery, Vasile Goldis Western University of Arad, Arad, Romania
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Abstract
The term “diabetic hand” was born to describe the complications of the diabetes mellitus on the hand resulting in a rigid hand with a poor mobility. The traumatic wounds with soft tissue involvement increase the risk of infection. Staphylococcus aureus methicillin-resistant (MRSA) is the most common bacterium isolated in the hand infections. The case report of a type 2 diabetic patient, dialysed with chronic obstructive peripheral artery disease and Monckeberg sclerosis of the vessels of the hands, ischemic necrosis of the right hand fingers is reported by the authors. In the diabetic patient the hands can be infected in the same way that feet could be infected too. Several amputation interventions have been performed with the intent of saving part of the hand. The diabetic hand syndrome (DHS) is an important pathology that requires strong antibiotics and surgery to avoid severe disability as rigidity, contracture and amputation. Apparently, in the last years good results are reported using antibiotic, surgical and hyperbaric treatment. In conclusion it would be wrong to ignore or underestimate this disease and any doctor should practice a scrupulous visit of the hands in the diabetic patient.
Keywords
Ischemia, Gangrena of Meneley, Diabetic Hand, Monckeberg’s Sclerosis, Sepsis
To cite this article
Crisci Alessandro, Lombardi Domenico, Lombardi Luisa, Romano Giovanni, Lombardi Guido, Crisci Michela, The Ischemic/Septic Diabetic Hand: Review of Literature and a Case Report, Journal of Surgery. Vol. 6, No. 4, 2018, pp. 82-87. doi: 10.11648/j.js.20180604.11
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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