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Das diabetische Fußsyndrom

Diabetic foot syndrome

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Zusammenfassung

Das diabetische Fußsyndrom ist weltweit eine der bedeutendsten Komplikationen und häufigste Ursache für die Notwendigkeit einer Krankenhausbehandlung bei Patienten mit einem Diabetes mellitus. Die Ätiologie des diabetischen Fußsyndroms ist multifaktoriell und komplex. Die Pathophysiologie der diabetischen Fußläsion mit Polyneuropathie und Angiopathie sowie Wundheilungsstörungen aufgrund des Diabetes steht hier im Vordergrund. Durch geeignete Behandlungsstrategien sowie interdisziplinäre und sektorenübergreifende Strukturen ist es möglich, in Deutschland die im europäischen Vergleich deutlich höheren Amputationsraten zu senken.

Abstract

Diabetic foot ulceration is a serious complication of diabetes mellitus worldwide and the most common cause of hospitalization in diabetic patients. The etiology of diabetic foot ulcerations is complex due to their multifactorial nature. The pathophysiologies of diabetic foot ulceration with polyneuropathy and angiopathy as well as wound-healing impairment in patients with diabetes mellitus are important. Proper adherence to standard treatment strategies and interdisciplinary cooperation can reduce the – compared with European data – noticeable higher rates of major amputations in Germany.

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehungen hin:

Referententätigkeit und Forschungsförderdung der Firmen Novartis und Bayer.

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  1. Klinik für Endokrinologie, Diabetologie und Geriatrie, Klinikum Stuttgart – Bürgerhospital, Tunzhofer Straße 14-16, 70191, Stuttgart, Deutschland

    R. Lobmann

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Lobmann, R. Das diabetische Fußsyndrom. Internist 52, 539–548 (2011). https://doi.org/10.1007/s00108-010-2733-z

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