Malum Perforans Pedis Caused by Spinal Canal Stenosis and Spondylolisthesis

Nishio, Kazukata; Yamamoto, Osamu; Tsukahara, Jun

doi:10.7888/juoeh.6.171

Cited by 1 publication

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“…Some internal diseases can have impact in the skin. Malum perforans pedis is a chronic inflammatory disease that maybe associated with some neurologic diseases, neurotrophic, as well as, with some endocrine diseases such as arteriosclerosis, diabetes mellitus, leprosy, lues and lumbosacral plexus, and intrathecal tumors [5,2,1,6].…”

Section: Resultsmentioning

confidence: 99%

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Malum Perforans Pedis – Case Report

Gerqari¹,

Ferizi²,

Halimi³

et al. 2016

SJCM

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Background: Malum perforans pedis is a chronic disease characterized by a punched out ulceration that may enlarge. The ulcer is localisated in a foot. It is a complication of the primary disease of the different origin that is always presented with a vaculopathies or neuropathies, and is common in diabetic patients. Malum perforans pedis appears in a sole of the foot and mostly occurs with no pain. The disease is mostly caused by the pressing of the underlain bone and a chronic trauma on a poor blood flow of the tissue. The treatment consists: on a treatment of the primary disease-vaculopathy and neuropathy; the local treatment includes treatment of the infection and the wound treatment through surgery and skin grafting. Case presentation: This paper presents a case of a 49 year old woman with the ulceration on a sole of the left foot that did appeared before four months. The patient claims that the changes began after wearing shoes that hurt her foot. The patient also claims that during the past year she had some signs of diabetes and the measure of the blood sugar shows high levels. The patient also gives interesting data that during the last few years she have had used cosmetics which contained mercury. Conclusions: Malum perforans pedis is a disease where the patient loses the feeling of pain and the chronic trauma causes the injury and following that during the time the defect in a skin enlarges and makes a trophic ulcer in a various size and form. It also depends on a microangiopathies due to diabetes and arteriosclerosis.

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Section: Resultsmentioning

confidence: 99%

“…The iatrogenic origin of the lesions has also been stated, due to a small injury, especially chronic injuries such as: while walking with inappropriate shoes leads to skin breakdown and respective ulceration. Neuropathic ulcers develop in a site of repetitive high pressure, in people with a peripheral sensory deficit [2].…”

Section: Discussionmentioning

confidence: 99%