Wrenn K
Grady Memorial Hospital, Atlanta, Ga.
Arch Intern Med. 1991 Apr;151(4):785-8. doi: 10.1001/archinte.151.4.785.
The syndrome of immersion foot is being seen with increasing frequency among the homeless population. It represents the effects of injury by water absorption in the stratum corneum of the skin of the feet. The taxonomy of this disorder is confusing and the many colorful pseudonyms should probably be dropped in favor of a simple classification based on the temperature of the water and the duration of exposure. When uncomplicated by infection or ischemic injury, immersion foot will quickly resolve with conservative measures only. More complicated cases may require antibiotics and surgical treatment. This syndrome may be exacerbated by disturbances of cognition, peripheral neuropathy, peripheral vascular disease, or the use of tobacco or vasoconstrictor drugs such as cocaine. A major contributing factor seems to be lack of shelter in the homeless population. Attention to foot care problems among the homeless and education concerning preventive measures are incumbent on physicians who care for the indigent.
浸渍足综合征在无家可归人群中越来越常见。它表现为足部皮肤角质层因吸水而造成的损伤。这种疾病的分类很混乱，许多色彩斑斓的别名或许应被摒弃，转而采用基于水温及暴露时长的简单分类。若未并发感染或缺血性损伤，浸渍足仅通过保守治疗就能迅速痊愈。更复杂的病例可能需要使用抗生素及手术治疗。认知障碍、周围神经病变、周围血管疾病，或使用烟草、可卡因等血管收缩药物，可能会使这种综合征加重。一个主要促成因素似乎是无家可归人群缺乏住所。关注无家可归者的足部护理问题，并对预防措施进行教育，是为贫困人群提供医疗服务的医生的职责所在。
