The term “diabetic hand” was born to describe the complications of the diabetes mellitus on the hand resulting in a rigid hand with a poor mobility. The traumatic wounds with soft tissue involvement increase the risk of infection. Staphylococcus aureus methicillin-resistant (MRSA) is the most common bacterium isolated in the hand infections. The case report of a type 2 diabetic patient, dialysed with chronic obstructive peripheral artery disease and Monckeberg sclerosis of the vessels of the hands, ischemic necrosis of the right hand fingers is reported by the authors. In the diabetic patient the hands can be infected in the same way that feet could be infected too. Several amputation interventions have been performed with the intent of saving part of the hand. The diabetic hand syndrome (DHS) is an important pathology that requires strong antibiotics and surgery to avoid severe disability as rigidity, contracture and amputation. Apparently, in the last years good results are reported using antibiotic, surgical and hyperbaric treatment. In conclusion it would be wrong to ignore or underestimate this disease and any doctor should practice a scrupulous visit of the hands in the diabetic patient.
| Published in | Journal of Surgery (Volume 6, Issue 4) |
| DOI | 10.11648/j.js.20180604.11 |
| Page(s) | 82-87 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Ischemia, Gangrena of Meneley, Diabetic Hand, Monckeberg’s Sclerosis, Sepsis
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APA Style
Crisci Alessandro, Lombardi Domenico, Lombardi Luisa, Romano Giovanni, Lombardi Guido, et al. (2018). The Ischemic/Septic Diabetic Hand: Review of Literature and a Case Report. Journal of Surgery, 6(4), 82-87. https://doi.org/10.11648/j.js.20180604.11
ACS Style
Crisci Alessandro; Lombardi Domenico; Lombardi Luisa; Romano Giovanni; Lombardi Guido, et al. The Ischemic/Septic Diabetic Hand: Review of Literature and a Case Report. J. Surg. 2018, 6(4), 82-87. doi: 10.11648/j.js.20180604.11
AMA Style
Crisci Alessandro, Lombardi Domenico, Lombardi Luisa, Romano Giovanni, Lombardi Guido, et al. The Ischemic/Septic Diabetic Hand: Review of Literature and a Case Report. J Surg. 2018;6(4):82-87. doi: 10.11648/j.js.20180604.11
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Download@article{10.11648/j.js.20180604.11,
author = {Crisci Alessandro and Lombardi Domenico and Lombardi Luisa and Romano Giovanni and Lombardi Guido and Crisci Michela},
title = {The Ischemic/Septic Diabetic Hand: Review of Literature and a Case Report},
journal = {Journal of Surgery},
volume = {6},
number = {4},
pages = {82-87},
doi = {10.11648/j.js.20180604.11},
url = {https://doi.org/10.11648/j.js.20180604.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180604.11},
abstract = {The term “diabetic hand” was born to describe the complications of the diabetes mellitus on the hand resulting in a rigid hand with a poor mobility. The traumatic wounds with soft tissue involvement increase the risk of infection. Staphylococcus aureus methicillin-resistant (MRSA) is the most common bacterium isolated in the hand infections. The case report of a type 2 diabetic patient, dialysed with chronic obstructive peripheral artery disease and Monckeberg sclerosis of the vessels of the hands, ischemic necrosis of the right hand fingers is reported by the authors. In the diabetic patient the hands can be infected in the same way that feet could be infected too. Several amputation interventions have been performed with the intent of saving part of the hand. The diabetic hand syndrome (DHS) is an important pathology that requires strong antibiotics and surgery to avoid severe disability as rigidity, contracture and amputation. Apparently, in the last years good results are reported using antibiotic, surgical and hyperbaric treatment. In conclusion it would be wrong to ignore or underestimate this disease and any doctor should practice a scrupulous visit of the hands in the diabetic patient.},
year = {2018}
}
TY - JOUR T1 - The Ischemic/Septic Diabetic Hand: Review of Literature and a Case Report AU - Crisci Alessandro AU - Lombardi Domenico AU - Lombardi Luisa AU - Romano Giovanni AU - Lombardi Guido AU - Crisci Michela Y1 - 2018/06/12 PY - 2018 N1 - https://doi.org/10.11648/j.js.20180604.11 DO - 10.11648/j.js.20180604.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 82 EP - 87 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20180604.11 AB - The term “diabetic hand” was born to describe the complications of the diabetes mellitus on the hand resulting in a rigid hand with a poor mobility. The traumatic wounds with soft tissue involvement increase the risk of infection. Staphylococcus aureus methicillin-resistant (MRSA) is the most common bacterium isolated in the hand infections. The case report of a type 2 diabetic patient, dialysed with chronic obstructive peripheral artery disease and Monckeberg sclerosis of the vessels of the hands, ischemic necrosis of the right hand fingers is reported by the authors. In the diabetic patient the hands can be infected in the same way that feet could be infected too. Several amputation interventions have been performed with the intent of saving part of the hand. The diabetic hand syndrome (DHS) is an important pathology that requires strong antibiotics and surgery to avoid severe disability as rigidity, contracture and amputation. Apparently, in the last years good results are reported using antibiotic, surgical and hyperbaric treatment. In conclusion it would be wrong to ignore or underestimate this disease and any doctor should practice a scrupulous visit of the hands in the diabetic patient. VL - 6 IS - 4 ER -
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