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العنوان
Screening of charcot foot and associated risk factors in Assiut diabetic foot care clinic /
المؤلف
abdel hafez, Heba mohamed,
هيئة الاعداد
باحث / Heba mohamed abdel hafez
مشرف / Mohamed Hossam Eldin Hassan
مناقش / Hanan Mahmoud Ahmed
مناقش / Mahmoud Saad Abdelaalim
الموضوع
diabetic foot. Internal Medicine.
تاريخ النشر
2024.
عدد الصفحات
98 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
الناشر
تاريخ الإجازة
9/7/2019
مكان الإجازة
جامعة أسيوط - كلية الطب - internal medicine
الفهرس
Only 14 pages are availabe for public view

from 98

from 98

Abstract

The current study was performed at period between Mai 2015 and Mai 2016 in Assiut diabetic foot care clinic to estimate frequency and risk factors of charcot foot Out of 720 patients came to the clinic with diabetic foot, 100 patients were diagnosed to have charcot foot. So, frequency of charcot foot in the current study was 13.8% Mean age of those patients with charcot foot was 65.08 ± 13.32 years while was 56.98 ± 11.98 years. it was noticed that duration of DM was significantly prolonged in those with charcot foot (16.89 ± 1.78 years) than those patients without charcot foot (12.78 ± 2.95 years). There was male predominance in both groups where 70% of those with charcot foot and 60% of those without charcot foot were males Regarding the demographic data, all parameters had significant differences between those with charcot foot and those without charcot foot with exception of CKD, IHD and COPD.87% and 67% of patients with charcot foot and those without charcot foot had type II DM and majority of patients in those with charcot foot (50%) were on oral hypoglycemic drugs therapy while 65% of patients without charcot foot were on insulin therapy.Diabetes mellitus was poorly controlled in the patients with charcot foot where HbA1C was 8.88 ± 1.23 % while it was 7.01 ± 2.06 % in those patients without charcot foot (P= 0.02). Out of 100 patients with charcot foot, 75 (75%) patients had bilateral charcot foot and 61 (61%) patients had acute charcot foot.Mono filament test was preserved in 37 (37%) patients, diminished in 39 (39%) patients and lost in 24 (24%) patients. In majority of patients (58%) vibration test was lost while pin prick test and ankle reflex were lost in 59% of patients. Mean of neuropathy disability score in patients with charcot foot was 3.89 ± 0.89.