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https://www.um.edu.mt/library/oar/handle/123456789/100554
Title: | Thermographic characteristics of the diabetic foot with peripheral arterial disease using the angiosome concept |
Authors: | Carabott, Matthew Formosa, Cynthia Mizzi, Anabelle Papanas, Nikolaos Gatt, Alfred |
Keywords: | Foot -- Thermography -- Case studies Peripheral vascular diseases -- Treatment Diabetic foot -- Treatment -- Case studies |
Issue Date: | 2019 |
Publisher: | Georg Thieme Verlag |
Citation: | Carabott, M., Formosa, C., Mizzi, A., Papanas, N., & Gatt, A. (2019). Thermographic characteristics of the diabetic foot with peripheral arterial disease using the angiosome concept. Experimental and Clinical Endocrinology & Diabetes, 129(02), 93-98. |
Abstract: | Aim: To compare temperature changes following a challenge
of limb elevation, in 3 forefoot angiosomes between type 2
diabetes mellitus patients with and without peripheral arterial
disease (PAD). Methods: Participans were categorized in a no PAD, mild PAD or severe PAD group. All underwent thermal imaging, then successive thermal images were taken at 1 min intervals after the lower limbs were elevated for 5 min. Thereafter, the lower limbs were lowered to the original position and imaged after 1 min. Mean temperatures of the hallux, medial and lateral forefoot were analysed by the angiosome concept. Results: Forty-two limbs were analysed. Mean resting temperatures of all angiosomes of participants with PAD were higher than those with no peripheral arterial disease. A significant difference in the mean initial temperature between the groups was found in the medial and lateral forefoot angiosomes (p = 0.048, p = 0.049 respectively), whilst at the hallux these temperatures were not significant (p = 0.165). After limb elevation, the only significant difference was seen in the lateral foot area at 1 min (p = 0.021). Conclusions: These results confirm that patients with PAD exhibit significantly higher forefoot temperatures, according to the angiosome concept. The challenge by foot elevation did not affect the thermal pattern significantly. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/100554 |
Appears in Collections: | Scholarly Works - FacHScPod |
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