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Úlcera do pé diabético e a doença arterial periférica
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A úlcera do pé diabético é uma das principais complicações associadas à Diabetes Mellitus, apresentando uma incidência anual de aproximadamente 1-4%, sendo que 25% dos doentes diabéticos irão sofrer desta complicação ao longo do curso da sua doença.
Os principais mecanismos associados ao seu aparecimento são a neuropatia diabética e a doença arterial periférica, sendo que devido à sua relevância em termos de co-morbilidades este trabalho irá abordar apenas a doença arterial periférica.
O diagnóstico desta patologia deve ser realizado o mais precocemente possível através de uma história e exame objetivo bem elaborados para que assim se possa instituir uma terapêutica dirigida o mais atempadamente possível, sendo a amputação major um dos grandes problemas associados a este tipo de úlcera.
A úlcera do pé diabético requer uma abordagem multidisciplinar na tentativa de um tratamento mais holístico, diminuindo a necessidade de recorrer ao sistema de saúde e ao internamento, que acarretam elevados custos quer diretos quer indiretos.
Diabetic foot ulcers are one of the main complications associated with diabetes mellitus, with an annual incidence of approximately 1-4%, and 25% of diabetic patients will suffer from this complication throughout the course of their disease. The main mechanisms associated with its onset are diabetic neuropathy and peripheral arterial disease, and because of their relevance in terms of comorbidities this work will only address peripheral arterial disease. The diagnosis of this pathology should be performed as early as possible through a well-designed history and objective examination so that directed therapy can be instituted as soon as possible, with major amputation being one of the major problems associated with this type of ulcer. Diabetic foot ulcer requires a multidisciplinary approach in the attempt of a more holistic treatment, reducing the need to resort to the health system and hospitalization, which entail high costs, both direct and indirect.
Diabetic foot ulcers are one of the main complications associated with diabetes mellitus, with an annual incidence of approximately 1-4%, and 25% of diabetic patients will suffer from this complication throughout the course of their disease. The main mechanisms associated with its onset are diabetic neuropathy and peripheral arterial disease, and because of their relevance in terms of comorbidities this work will only address peripheral arterial disease. The diagnosis of this pathology should be performed as early as possible through a well-designed history and objective examination so that directed therapy can be instituted as soon as possible, with major amputation being one of the major problems associated with this type of ulcer. Diabetic foot ulcer requires a multidisciplinary approach in the attempt of a more holistic treatment, reducing the need to resort to the health system and hospitalization, which entail high costs, both direct and indirect.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2017
Palavras-chave
Diabetes Úlcera do pé diabético Doença arterial periférica Amputação