Ultrasonographic and thermographic screening for latent inflammation in diabetic foot callus
Ultrasonographic and thermographic screening for latent inflammation in diabetic foot callus
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DOI：
10.1016/j.diabres.2009.05.018
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发表时间：
2009-09-01
影响因子：
5.1
通讯作者：
Sanada, Hiromi
中科院分区：
文献类型：
--
作者：
Nishide, Kaoru;Nagase, Takashi;Sanada, Hiromi
目的：糖尿病足骨痂内的炎症可能是最早的，预示着后期足部溃疡的症状。本研究的目的是确定潜在的炎症内的脚骨痂使用热成像和超声检查，并探讨骨痂和存在或不存在diabetes.Methods的炎症结果之间的关系：这是一个横断面研究60例无症状的脚骨痂; 30名糖尿病患者和30名非糖尿病匹配的志愿者。炎症定义使用生理成像技术，如皮肤温度升高的热成像和低回声病变ultrasonic.Results：六十三和九十四愈伤组织观察糖尿病和非糖尿病组，分别。两种方法均检测到糖尿病组10%的愈伤组织出现炎症反应。在非糖尿病组中未观察到炎症（p = 0.014）。结论：此处呈现的炎症体征在糖尿病组中特异性观察到。我们认为，生理成像技术可能是有价值的筛选工具，糖尿病足溃疡的潜在风险。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Aims: Inflammation within the diabetic foot callus may be an earliest, predicting symptom of foot ulcer developing later. The purpose of this study was to identify latent inflammation within the foot callus using thermography and ultrasonography, and to investigate relationship between the inflammatory findings in callus and presence or absence of diabetes.Methods: This was a cross-sectional study of 60 cases with asymptomatic foot callus; the 30 diabetic patients and the 30 non-diabetic matched volunteers. Inflammation was defined using physiological imaging techniques; as skin temperature elevation in thermography and low echoic lesion in ultrasonography.Results: Sixty-three and ninety-four calli were observed in the diabetic and non-diabetic groups, respectively. The inflammation signs were detected by both of the two techniques in 10% of the calli in the diabetic group. No inflammation was noted in the non-diabetic group (p = 0.014).Conclusions: The inflammation signs presented here were specifically observed in the diabetic group. We consider that the physiological imaging techniques may be valuable screening tools for potential risk of diabetic foot ulcers. (C) 2009 Elsevier Ireland Ltd. All rights reserved.