Diabetic bullae: A case series and a new model of surgical management
Shahi, N. Bradley, S. Vowden, Kath Vowden, Peter
Shahi, N.
Bradley, S.
Vowden, Kath
Vowden, Peter
Publication Date
2014-06
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Abstract
Bullosis diabeticorum is considered a rare skin manifestation of diabetes mellitus. Tense blisters appear rapidly, mostly on the feet, the cause of which is unclear, with multiple pathophysiologies hypothesised. This is a retrospective review of 4 diabetic patients who presented over six months with diabetic bullae; the condition may therefore not be as rare as commonly believed. All the patients had early surgical debridement followed by topical negative pressure wound dressings. A multidisciplinary team that included vascular surgeons, diabetologists, diabetic foot care team, wound care team, physiotherapists and occupational therapists managed the patients and none of them required amputations. We propose an alternative way of managing these patients with early surgical debridement followed by topical negative pressure wound dressing.
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Shahi N, Bradley S, Vowden K and Vowden P (2014) Diabetic bullae: A case series and a new model of surgical management. Journal of Wound Care. 23(6): 326-330.
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Case study