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Case query - diabetic skin lesion?

Discussion in 'Diabetic Foot & Wound Management' started by Mark Russell, Oct 1, 2005.


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    A sixty-three year-old type II diabteic female presenting with asymptomatic bullae-type formation on lateral aspect of foot for last two years. Sudden onset, no previous pathology or trauma, the lesion does not drain or discharge. No discomfort on palpation - it feels similar to a varicose vein insomuch as it flattens on direct pressure only to fill immediately again on release. No neuropathy or angiopathy, diabetes well controlled with oral hypoglycaemics. No other medical history.

    Any suggestions?


    {photographs to follow - thanks Craig}
     
    Last edited: Oct 1, 2005
  2. admin

    admin Administrator Staff Member

    Photo attached.
     

    Attached Files:

  3. Craig Payne

    Craig Payne Moderator

    Articles:
    6
  4. That's what I though initially, Craig, but this lesion has been present for nearly two years whilst diabetic bullae heal spontaneously within 2-6 weeks of onset. I'll aspirate some of the fluid and get some paths done then get back to the forum. Thanks Again.

    Mark
     
  5. John Spina

    John Spina Active Member

    I rather agree with Dr.Payne on this one,because this may be a different bulla.Aseptic clear drainage is part of a diabetic bulla.I&D it and see what comes out.It is not necessary to put this pt on antibiotics.
     
  6. A quick update on this lesion - a mucilaginous (or mucoid) cyst. Thanks for the comments.
     
  7. drmamdouh

    drmamdouh Welcome New Poster

    Dr mamdouh El-Nahas

    This lesion could be a venous star.


    {photographs to follow - thanks Craig}[/QUOTE]
     
  8. abotammam11

    abotammam11 Welcome New Poster

    diabetic bollus need to be open
     
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