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Diagnostic approach of the pathophysiological triad leading to a diabetic foot
Rorive M. , Scheen et l’équipe multidisciplinaire de la clinique du pied diabétique A.J.
Rev Med Liege 2015, 70(9),465-471Abstract : Diabetic foot is a common complication of diabetes mellitus. Its pathophysiology is most often complex with the interconnection of three different components : diabetic neuropathy, arterial disease and infection. The diagnostic approach should specify the respective role of each component, firstly thanks to a thorough medical interview and a careful clinical examination. Afterwards, well selected complementary exams will confirm the hypotheses generated by the initial clinical approach. Consequently, a specific care strategy will be implemented, ideally with the help of a multidisciplinary team. This educational clinical case is devoted to the sequential diagnostic approach of a patient with a foot ulcer in the context of a diabetic foot.
