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Il piede diabetico

Il piede diabetico. Paolo Marchettini Ambulatorio di Medicina del Dolore Istituto Scientifico San Raffaele Milano. Polineuropatia distale simmetrica. sensazione di pelle addormentata gonfiore trazione-fasciatura formicolio freddo o caldo scossa elettrica punture di spillo

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Il piede diabetico

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  1. Il piede diabetico Paolo Marchettini Ambulatorio di Medicina del Dolore Istituto Scientifico San Raffaele Milano

  2. Polineuropatia distale simmetrica

  3. sensazione di pelle addormentata gonfiore trazione-fasciatura formicolio freddo o caldo scossa elettrica punture di spillo piedi bollenti come camminare su vetri rotti sensazione fastidiosa allo sfioramento dolore urente sup.le o profondo dolore crampiforme dolore lancinante Sintomi

  4. Pulsante Stimolatore Termo - test Esame quantitativo delle sensibilità termiche Marcata ipoestesia per gli stimoli caldi alle gambe ed ai piedi, più evidente nelle sedi distali

  5. Esame TELETERMOGRAFICO Inversione del pattern termico

  6. Radicoloplessopatia diabetica: biopsia del surale vasculite delle piccole arteriole epineurali con infiltrazione di cellule mononucleate Ispessimento intimale, fibrosi dell’avventizia, ricanalizzazione e depositi di emosiderina perivascolari P.Dyck et al Neurology 1999

  7. Anatomical preparation of a foot with neuroosteoarthropathy due to tabes dorsalis (‘pied ataxique'). Original sketch, as published by Charcot and Féré 1883

  8. A significant reduction of CUR at 3 months’ follow-up was observed in 34 out of 40 patients (90%); all these patients had a concomitant reduction of the clinical signs (ΔT, ΔAC, and ΔMC). The corresponding SI ratio was significantly reduced only in 15 out of 40 patients (37.5%;

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