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Temperature as a Causative Factor in Diabetic Foot Ulceration

Discussion in 'Diabetic Foot & Wound Management' started by NewsBot, Nov 16, 2018.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Temperature as a Causative Factor in Diabetic Foot Ulceration: A Call to Revisit Ulcer Pathomechanics.
    Yavuz M et al
    J Am Podiatr Med Assoc. 2018 Nov 14
    BACKGROUND:
    Diabetic foot ulcers are a major burden to patients and to the healthcare systems of many countries. To prevent and/or treat ulcers more effectively, predictive biomarkers are needed. We examined temperature as a biomarker and as a causative factor in ulcer development.

    METHODS:
    37 individuals with diabetes were enrolled in this observational case-control study: nine with diabetic neuropathy and ulcer history (DFU), 14 with diabetic neuropathy (DN), and 14 non-neuropathic participants (DC). Resting barefoot plantar temperatures were recorded using an infrared thermal camera. Mean temperature in each region was determined based on 4 anatomical regions; hallux, medial forefoot, central forefoot, and lateral forefoot and separate linear models with specified contrasts between DFU, DN, and DC groups were set to reveal mean differences for each foot region, while controlling for group characteristics.

    RESULTS:
    Mean temperature readings in each foot region was higher than 30.0°C in the DFU and DN compared to the DC group with all temperatures below 30.0°C. Mean differences were greatest between the DFU and the DC group, with mean differences ranging from 3.2°C in the medial forefoot to 4.9°C in the hallux.

    CONCLUSIONS:
    Increased plantar temperatures in individuals with a history of ulcers may include acute temperature increases from plantar stresses, chronic inflammation from prolonged stresses, and impairment in temperature regulation from autonomic neuropathy. Diabetic foot temperatures, particularly in those with previous ulcers, may easily reach hazard thresholds indicated by prior pressure ulcer studies. The results necessitate further exploration of temperature in diabetic foot and how it may contribute to ulceration
     
  2. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Relationship between skin temperature and soft tissue hardness in diabetic patients: an exploratory study.
    Seixas A et al
    Physiol Meas. 2019 Jul 3
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Association Between Elevated Foot Skin Temperature and the Incidence of Diabetic Foot Ulcers: A Meta-Analysis
    Javier Ena, MD, Juani Carretero-Gomez, MD, Jose Carlos Arevalo-Lorido, MD, ...
    The International Journal of Lower Extremity Wounds February 28, 2020
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Is a Left-to-Right >2.2°C Difference a Valid Measurement to Predict Diabetic Foot Ulceration in People with Diabetes and a History of Diabetic Foot Ulceration?
    Jill Featherston, Anke M. Wijlens, Jaap J. van Netten
    The International Journal of Lower Extremity Wounds December 20, 2021
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Does the skin heat up before it breaks down in diabetic foot ulceration?
    Wouter B Aan de Stegge et al
    Diabetes Metab Res Rev. 2023 Feb 8
     
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