Diabetic gangrene of the clinical features of acromegaly

• Author: admin
• Filed under: Diabetes
• Date: Nov 30,2008

Acral gangrene diabetes occurred in middle-aged and elderly; more men than women, male to female ratio was 3:2; course of diabetes on average about 10 years, parts of lower limb gangrene often, accounting for 92.5 percent, the upper rare, accounting for about 7.5 percent; Some 80% of the incidence of unilateral, bilateral disease at the same time about 20%; toe and gangrene of the foot at the same time more common, accounting for 77.5 percent; gangrenous toes and lower legs at the same time accounting for 5%, accounting for only 5% of the lower leg gangrene; foot Finger or toe disease accounted for 12.5 percent. Clinical types of dry gangrene, moist gangrene, gangrene of the three mixed.

(1) moist gangrene. Acral surface erosion of local soft tissue to form a shallow ulcer, followed by an in-depth fester muscle, is a very bad cut tendon, bone damage, a large number of tissue necrosis, abscess formation of large, emit more secretions. This type found gangrene, accounting for 72.5 percent, mainly based on the pathological microvascular basement membrane thickening caused by microcirculation.

(2) dry gangrene. Avascular necrosis of peripheral involvement acromegaly, black dry, clear boundary changes, to a certain stage of development of without dealing with their own loss. This type accounts for about 7.5 percent gangrene, the main pathology is the basis of small and medium-sized artery obstruction caused by avascular necrosis.

(3) mixed gangrene. About 20%. Microcirculation and small artery disease two types of co-existence of both extremities of ischemic necrosis of the stem, and there are enough (or) wet gangrene of the leg.

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