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Titolo:
Foot problems in patients with systemic sclerosis
Autore:
Sari-Kouzel, H; Hutchinson, CE; Middleton, A; Webb, F; Moore, T; Griffin, K; Herrick, AL;
Indirizzi:
Univ Manchester, Hope Hosp, Ctr Rheumat Dis, Dept Radiol, Salford M6 8HD, Lancs, England Univ Manchester Salford Lancs England M6 8HD lford M6 8HD, Lancs, England Univ Manchester, Hope Hosp, Ctr Rheumat Dis, Dept Podiatry, Salford M6 8HD, Lancs, England Univ Manchester Salford Lancs England M6 8HD lford M6 8HD, Lancs, England
Titolo Testata:
RHEUMATOLOGY
fascicolo: 4, volume: 40, anno: 2001,
pagine: 410 - 413
SICI:
1462-0324(200104)40:4<410:FPIPWS>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
MACROVASCULAR DISEASE; ANTICENTROMERE;
Keywords:
systemic sclerosis; scleroderma; Raynaud's phenomenon; feet; podiatry;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
6
Recensione:
Indirizzi per estratti:
Indirizzo: Sari-Kouzel, H Univ Manchester, Hope Hosp, Ctr Rheumat Dis, Dept Radiol, Clin Sci Bldg, Salford M6 8HD, Lancs, England Univ Manchester Clin Sci Bldg Salford Lancs England M6 8HD
Citazione:
H. Sari-Kouzel et al., "Foot problems in patients with systemic sclerosis", RHEUMATOLOG, 40(4), 2001, pp. 410-413

Abstract

Objectives. To assess the nature of the foot problems experienced in patients with systemic sclerosis (SSc) and patient awareness of such problems. Methods. Fifty unselected patients (42 females, eight males) with SSc wereassessed by means of examination by a senior podiatrist, completion of a questionnaire detailing past and present foot problems, determination of random plasma glucose, plain X-rays of the feet, and measurement of the ankle,;brachial index and of digital pulses by Doppler ultrasound. Results. Eighty-six per cent of patients reported colour changes in their feet in response to temperature changes, 82%, reported pain usually relatedto cold, 26% had suffered foot ulceration and 8% had a history of foot surgery. Podiatry assessment confirmed the presence of significant abnormalities, including ulcerations in 10%. pre-ulcerative lesions in 34%, toenail changes in 62%, callus formation in 80% and calcinosis in 18%. Forty per centof the patients had problems with the fitting of shoes, and 19% had been provided with footwear from the hospital. Plain films of the feet demonstrated the presence of erosions in 6%. soft-tissue calcification in 17%. osteopenia in 26% and degenerative changes in 60% of cases. Ten per cent of the patients had an abnormal ankle brachial index (less than 1.0). Only 21% of the 47 patients in whom digital pulses were examined had normal pulses in all toes, and in 26% all toe pulses were absent. Conclusion. Although problems with the hands are well recognized in SSc, foot problems also occur in the majority of patients, and can be a cause of major disability. Care of the feet is therefore an important part of the management of SSc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 03:40:34