Coppini D V, Best C
Diabetic Foot Centre, Poole Hospital, UK.
Diabet Med. 2000 Sep;17(9):682-3. doi: 10.1046/j.1464-5491.2000.00340.x.
A case of hand ulceration in a diabetic patient with known lower extremity complications is presented. Although often asymptomatic, quantitative testing in patients indicates reduced hand sensation in patients with lower extremity neuropathy. Hand neuropathy may occasionally lead to anaesthetic injuries, particularly in certain 'manual' occupations, as seen in our patient.
Education on hand care is virtually nonexistent in most clinic settings, and our case highlights the need for more awareness on this potentially troublesome complication.
本文介绍了一例患有已知下肢并发症的糖尿病患者手部溃疡的病例。尽管患者通常没有症状,但定量测试表明,患有下肢神经病变的患者手部感觉减退。手部神经病变偶尔可能导致麻醉性损伤,特别是在某些“体力劳动”职业中,如我们的患者所示。
在大多数临床环境中,对手部护理的教育几乎不存在,我们的病例凸显了对这种潜在麻烦并发症提高认识的必要性。