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NORMAN ROSENBERG, M.D.; ISABEL M. LONDON, M.D.

AMA Arch Surg. 1956;72(1):160-165.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Gangrenous lesions of the foot in the diabetic patient may be classified into three groups,¹ clinical differentiation among which is important in prognosis: (a) Gangrene due to arterial insufficiency with minimal or no associated infection. This type is almost always acral in distribution and "dry" in appearance. (b) Gangrene of local nature, secondary to the destructive action of infection. The association of this form of necrosis with diabetes mellitus is frequent. (c) Gangrene of combined etiology, with elements of vascular impairment and infection intermixed, a group most difficult to evaluate.

Emphasis will be given in this report to instances of gangrene secondary mainly to infection or to infection combined with varying degrees of major arterial disease. Such "septic necrosis" can occur at any of the following sites in the foot and usually follows relatively minor trauma to the skin.

(1) In the toes, about the nails, or in relation . . . [Full Text PDF of this Article]

Author Affiliations
New Brunswick, N. J.

From The Vascular Services of St. Peters General Hospital and Middlesex General Hospital.

Footnotes
Recorded for publication Sept. 7, 1955.

Presented at the Third Scientific Meeting of the North American Chapter of the International Society of Angiology, Atlantic City, N. J., June 4, 1955.

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