<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\nProf. Dr. Georgescu Simona<\/span><\/strong>
Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d Bucure\u0219ti<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.4.8″ hover_enabled=”0″]<\/p>\n
Manifest\u0103ri cutanate \u00een piciorul diabetic <\/span>
Autor:\u00a0Simona Georgescu<\/span><\/p>\nDiabetul zaharat este o afec\u0163iune frecvent\u0103, grevat\u0103 peste tot \u00een lume de morbiditate \u015fi mortalitate ridicate. Ulcerele piciorului diabetic sunt unele dintre cele mai frecvente complica\u0163ii ale diabetului, afect\u00e2nd \u00eentre 15 \u2013 25% dintre pacien\u0163i. Afec\u0163iunea este multifactorial\u0103, un rol central \u00een apari\u0163ia ei juc\u00e2nd controlul glicemiei, neuropatia periferic\u0103, traumatismele, \u00eenc\u0103l\u0163\u0103mintea impropie, lipsa de ingrijire \u015fi complica\u0163iile vasculare periferice.
Piciorul diabetic este o problem\u0103 important\u0103 de s\u0103n\u0103tate din moment ce este adesea asociat\u0103 cu necesitatea amputa\u0163iei.
O serie de alte manifest\u0103ri cutanate pot afecta piciorul diabetic: infec\u0163ii bacteriene, micotice, necrobiosis lipoidica, granulomul inelar,etc. Datorit\u0103 complica\u0163iilor afec\u0163iunii tratamentul trebuie asigurat de o echip\u0103 multidisciplinar\u0103, incluz\u00e2nd dermatologi, diabetologi, podiatru, chirurg vascular.
Ulcerele din piciorul diabetic sunt \u00een mod caracteristic localizate \u00een ariile cu presiune crescut\u0103, la nivelul proeminen\u0163elor osoase, cum ar fi halucele planta sau articula\u0163iile metacarpofalangiene. Ulcerele sunt de form\u0103 circular\u0103 \u015fi sunt \u00eenconjurate de un inel de calus. Pot sa apar\u0103 deform\u0103ri ale piciorului precum degetele \u00een ghear\u0103 sau hallux valgus, iar tegumentele uscate, fisurate, cu hipercheratoz\u0103 sunt un indicator al polineuropatiei.
Managementul piciorului diabetic include m\u0103suri igieno-dietetice, debridarea \u015fi \u00eengrijirea ulcerelor. O multitudine de terapii moderne sunt \u00eenc\u0103 \u00een curs de evaluare.
\u00cen concluzie, modific\u0103rile cutanate din piciorul diabetic reprezint\u0103 o afec\u0163iune cu poten\u0163ial evolutiv grav, cu risc de amputa\u0163ie, o afec\u0163iune care trebuie tratat\u0103 de o echipa multidisciplinar\u0103. \u00cen ciuda progreselor inregistrate, preven\u0163ia r\u0103m\u00e2ne cea mai important\u0103 masur\u0103 terapeutic\u0103.<\/p>\n
Skin manifestations in diabetic foot<\/span>
Author:\u00a0Simona Georgescu<\/span><\/p>\nDiabetes mellitus (DM) is a common disease, responsible for increased morbidity and mortality worldwide. Diabetic foot ulcers are some of the most frequent complications in patients suffering from DM, occurring in approximately 15-25% of diabetics. The disease is multifactorial and factors like poor glycemic control, peripheral neuropathy, trauma, improper foot care, inadequate footwear and peripheral vascular disease play a central role in its development. Since diabetic foot is the most frequent condition associated with foot amputation, it is considered an important healthcare issue. However, several other cutaneous disorders can affect the foot of the diabetic, including bacterial infections, fungal and yeast infections, necrobiosis lipoidica, diabetic dermopathy and granuloma annulare, among others. Due to the complexity of the disease, a multidisciplinary team consisting in dermatologists, diabetes specialists, internal medicine specialists, podiatrists and vascular surgeons is required for the best management of the patient.
Diabetic leg ulcers are typically located in areas of high pressure load, over bony prominences of feet, such as the toe, the sole or over the metacarpophalangeal joints. Ulcers are of circular shape and they are surrounded by a ring of callus. Deformities of the foot such as claw toe or hallux valgus can sometimes be observed and dry and fissured skin with hyperkeratosis and lack of hair are signs of polyneuropathy.
The management of diabetic foot includes the modification of predisposing factors, debridement and wound care. Various other modern treatments are now being investigated. However, prevention is of the utmost importance.
In conclusion, cutaneous changes in diabetic foot are serious conditions associated with high risk of foot amputation which should be managed by multidisciplinary teams of specialists. Despite advances in treatment options, prevention remains the most important intervention.<\/p>\n
<\/p>\n
\u00a0Scurt CV<\/span><\/p>\nGrad didactic<\/strong>
Din anul 2011 \u2013 Profesor universitar la disciplina Dermatologie a Facult\u0103\u0163ii de Medicin\u0103 Dentar\u0103 U.M.F. \u201dCarol Davila\u201d Bucure\u015fti
Func\u0163ie<\/strong>
Profesor universitar doctor, \u015fef disciplina Dermatologie, Facultatea de Medicin\u0103 Dentar\u0103 U.M.F. \u201dCarol Davila\u201d Bucure\u015fti
\u015eef Clinica Dermatologie, Spitalul de Boli Infec\u0163ioase \u015fi Tropicale \u201eV. Babe\u015f\u201d Bucure\u015fti
Competen\u0163e dob\u00e2ndite:<\/strong>
\u2022 dermato-cosmetologie,
\u2022 laser \u00een dermatologie,
\u2022 dermatoscopie
Apartenen\u0163\u0103 la Societ\u0103\u0163i \u015etiin\u0163ifice:<\/strong>
\u2022 Membru al Societ\u0103\u0163ii Rom\u00e2ne de Dermatologie
\u2022 Membru al Academiei Europene de Dermatologie \u015fi Venerologie EADV
\u2022 Membru al Societ\u0103\u0163ii Europene de Cercetare \u00een Dermatologie ESDR
\u2022 Membru \u00een Consiliul Profesoral al Facult\u0103\u0163ii de Medicin\u0103 Dentar\u0103 UMF \u201eCarol Davila\u201d Bucure\u015fti (2004-prezent)
\u2022 Pre\u015fedinte al Consiliului de Administra\u0163ie Spitalul Clinic de Dermatologie \u201eProf. Dr. S. Longhin\u201d Bucure\u015fti (2004-2006, 2010-2011)<\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2020<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@primaderma.ro\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”3.19.4″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n
Operatorul PDI 2020<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n
![\"\"](\"https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/eventer_logo_150px.png\")
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
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Prof. Dr. Georgescu Simona Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d Bucure\u0219ti Manifest\u0103ri cutanate \u00een piciorul diabetic Autor:\u00a0Simona Georgescu Diabetul zaharat este o afec\u0163iune frecvent\u0103, grevat\u0103 peste tot \u00een lume de morbiditate \u015fi mortalitate ridicate. Ulcerele piciorului diabetic sunt unele dintre cele mai frecvente complica\u0163ii ale diabetului, afect\u00e2nd \u00eentre 15 \u2013 25% dintre pacien\u0163i. Afec\u0163iunea […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-7542","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=7542"}],"version-history":[{"count":5,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542\/revisions"}],"predecessor-version":[{"id":8459,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542\/revisions\/8459"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=7542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/span><\/strong><\/h4>\nProf. Dr. Georgescu Simona<\/span><\/strong>
Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d Bucure\u0219ti<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.4.8″ hover_enabled=”0″]<\/p>\n
Manifest\u0103ri cutanate \u00een piciorul diabetic <\/span>
Autor:\u00a0Simona Georgescu<\/span><\/p>\nDiabetul zaharat este o afec\u0163iune frecvent\u0103, grevat\u0103 peste tot \u00een lume de morbiditate \u015fi mortalitate ridicate. Ulcerele piciorului diabetic sunt unele dintre cele mai frecvente complica\u0163ii ale diabetului, afect\u00e2nd \u00eentre 15 \u2013 25% dintre pacien\u0163i. Afec\u0163iunea este multifactorial\u0103, un rol central \u00een apari\u0163ia ei juc\u00e2nd controlul glicemiei, neuropatia periferic\u0103, traumatismele, \u00eenc\u0103l\u0163\u0103mintea impropie, lipsa de ingrijire \u015fi complica\u0163iile vasculare periferice.
Piciorul diabetic este o problem\u0103 important\u0103 de s\u0103n\u0103tate din moment ce este adesea asociat\u0103 cu necesitatea amputa\u0163iei.
O serie de alte manifest\u0103ri cutanate pot afecta piciorul diabetic: infec\u0163ii bacteriene, micotice, necrobiosis lipoidica, granulomul inelar,etc. Datorit\u0103 complica\u0163iilor afec\u0163iunii tratamentul trebuie asigurat de o echip\u0103 multidisciplinar\u0103, incluz\u00e2nd dermatologi, diabetologi, podiatru, chirurg vascular.
Ulcerele din piciorul diabetic sunt \u00een mod caracteristic localizate \u00een ariile cu presiune crescut\u0103, la nivelul proeminen\u0163elor osoase, cum ar fi halucele planta sau articula\u0163iile metacarpofalangiene. Ulcerele sunt de form\u0103 circular\u0103 \u015fi sunt \u00eenconjurate de un inel de calus. Pot sa apar\u0103 deform\u0103ri ale piciorului precum degetele \u00een ghear\u0103 sau hallux valgus, iar tegumentele uscate, fisurate, cu hipercheratoz\u0103 sunt un indicator al polineuropatiei.
Managementul piciorului diabetic include m\u0103suri igieno-dietetice, debridarea \u015fi \u00eengrijirea ulcerelor. O multitudine de terapii moderne sunt \u00eenc\u0103 \u00een curs de evaluare.
\u00cen concluzie, modific\u0103rile cutanate din piciorul diabetic reprezint\u0103 o afec\u0163iune cu poten\u0163ial evolutiv grav, cu risc de amputa\u0163ie, o afec\u0163iune care trebuie tratat\u0103 de o echipa multidisciplinar\u0103. \u00cen ciuda progreselor inregistrate, preven\u0163ia r\u0103m\u00e2ne cea mai important\u0103 masur\u0103 terapeutic\u0103.<\/p>\n
Skin manifestations in diabetic foot<\/span>
Author:\u00a0Simona Georgescu<\/span><\/p>\nDiabetes mellitus (DM) is a common disease, responsible for increased morbidity and mortality worldwide. Diabetic foot ulcers are some of the most frequent complications in patients suffering from DM, occurring in approximately 15-25% of diabetics. The disease is multifactorial and factors like poor glycemic control, peripheral neuropathy, trauma, improper foot care, inadequate footwear and peripheral vascular disease play a central role in its development. Since diabetic foot is the most frequent condition associated with foot amputation, it is considered an important healthcare issue. However, several other cutaneous disorders can affect the foot of the diabetic, including bacterial infections, fungal and yeast infections, necrobiosis lipoidica, diabetic dermopathy and granuloma annulare, among others. Due to the complexity of the disease, a multidisciplinary team consisting in dermatologists, diabetes specialists, internal medicine specialists, podiatrists and vascular surgeons is required for the best management of the patient.
Diabetic leg ulcers are typically located in areas of high pressure load, over bony prominences of feet, such as the toe, the sole or over the metacarpophalangeal joints. Ulcers are of circular shape and they are surrounded by a ring of callus. Deformities of the foot such as claw toe or hallux valgus can sometimes be observed and dry and fissured skin with hyperkeratosis and lack of hair are signs of polyneuropathy.
The management of diabetic foot includes the modification of predisposing factors, debridement and wound care. Various other modern treatments are now being investigated. However, prevention is of the utmost importance.
In conclusion, cutaneous changes in diabetic foot are serious conditions associated with high risk of foot amputation which should be managed by multidisciplinary teams of specialists. Despite advances in treatment options, prevention remains the most important intervention.<\/p>\n
<\/p>\n
\u00a0Scurt CV<\/span><\/p>\nGrad didactic<\/strong>
Din anul 2011 \u2013 Profesor universitar la disciplina Dermatologie a Facult\u0103\u0163ii de Medicin\u0103 Dentar\u0103 U.M.F. \u201dCarol Davila\u201d Bucure\u015fti
Func\u0163ie<\/strong>
Profesor universitar doctor, \u015fef disciplina Dermatologie, Facultatea de Medicin\u0103 Dentar\u0103 U.M.F. \u201dCarol Davila\u201d Bucure\u015fti
\u015eef Clinica Dermatologie, Spitalul de Boli Infec\u0163ioase \u015fi Tropicale \u201eV. Babe\u015f\u201d Bucure\u015fti
Competen\u0163e dob\u00e2ndite:<\/strong>
\u2022 dermato-cosmetologie,
\u2022 laser \u00een dermatologie,
\u2022 dermatoscopie
Apartenen\u0163\u0103 la Societ\u0103\u0163i \u015etiin\u0163ifice:<\/strong>
\u2022 Membru al Societ\u0103\u0163ii Rom\u00e2ne de Dermatologie
\u2022 Membru al Academiei Europene de Dermatologie \u015fi Venerologie EADV
\u2022 Membru al Societ\u0103\u0163ii Europene de Cercetare \u00een Dermatologie ESDR
\u2022 Membru \u00een Consiliul Profesoral al Facult\u0103\u0163ii de Medicin\u0103 Dentar\u0103 UMF \u201eCarol Davila\u201d Bucure\u015fti (2004-prezent)
\u2022 Pre\u015fedinte al Consiliului de Administra\u0163ie Spitalul Clinic de Dermatologie \u201eProf. Dr. S. Longhin\u201d Bucure\u015fti (2004-2006, 2010-2011)<\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2020<\/p>\n
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Operatorul PDI 2020<\/p>\n
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<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
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Parteneri Media<\/p>\n
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Prof. Dr. Georgescu Simona Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d Bucure\u0219ti Manifest\u0103ri cutanate \u00een piciorul diabetic Autor:\u00a0Simona Georgescu Diabetul zaharat este o afec\u0163iune frecvent\u0103, grevat\u0103 peste tot \u00een lume de morbiditate \u015fi mortalitate ridicate. Ulcerele piciorului diabetic sunt unele dintre cele mai frecvente complica\u0163ii ale diabetului, afect\u00e2nd \u00eentre 15 \u2013 25% dintre pacien\u0163i. Afec\u0163iunea […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-7542","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=7542"}],"version-history":[{"count":5,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542\/revisions"}],"predecessor-version":[{"id":8459,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542\/revisions\/8459"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=7542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d Bucure\u0219ti<\/span><\/strong><\/h4>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.4.8″ hover_enabled=”0″]<\/p>\n
Manifest\u0103ri cutanate \u00een piciorul diabetic <\/span> Diabetul zaharat este o afec\u0163iune frecvent\u0103, grevat\u0103 peste tot \u00een lume de morbiditate \u015fi mortalitate ridicate. Ulcerele piciorului diabetic sunt unele dintre cele mai frecvente complica\u0163ii ale diabetului, afect\u00e2nd \u00eentre 15 \u2013 25% dintre pacien\u0163i. Afec\u0163iunea este multifactorial\u0103, un rol central \u00een apari\u0163ia ei juc\u00e2nd controlul glicemiei, neuropatia periferic\u0103, traumatismele, \u00eenc\u0103l\u0163\u0103mintea impropie, lipsa de ingrijire \u015fi complica\u0163iile vasculare periferice. Skin manifestations in diabetic foot<\/span> Diabetes mellitus (DM) is a common disease, responsible for increased morbidity and mortality worldwide. Diabetic foot ulcers are some of the most frequent complications in patients suffering from DM, occurring in approximately 15-25% of diabetics. The disease is multifactorial and factors like poor glycemic control, peripheral neuropathy, trauma, improper foot care, inadequate footwear and peripheral vascular disease play a central role in its development. Since diabetic foot is the most frequent condition associated with foot amputation, it is considered an important healthcare issue. However, several other cutaneous disorders can affect the foot of the diabetic, including bacterial infections, fungal and yeast infections, necrobiosis lipoidica, diabetic dermopathy and granuloma annulare, among others. Due to the complexity of the disease, a multidisciplinary team consisting in dermatologists, diabetes specialists, internal medicine specialists, podiatrists and vascular surgeons is required for the best management of the patient. <\/p>\n \u00a0Scurt CV<\/span><\/p>\n Grad didactic<\/strong> [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” 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button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” 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A. Panu nr. 13, Iasi<\/span> [\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n Parteneri Media<\/p>\n [\/et_pb_text][et_pb_gallery gallery_ids=”7203,7204,7232,7231″ fullwidth=”on” _builder_version=”4.0.11″ transform_scale=”86%|86%” max_width=”63%” auto=”on” auto_speed=”3500″ hover_transition_duration=”100ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-in-out” locked=”off”][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Prof. Dr. Georgescu Simona Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d Bucure\u0219ti Manifest\u0103ri cutanate \u00een piciorul diabetic Autor:\u00a0Simona Georgescu Diabetul zaharat este o afec\u0163iune frecvent\u0103, grevat\u0103 peste tot \u00een lume de morbiditate \u015fi mortalitate ridicate. Ulcerele piciorului diabetic sunt unele dintre cele mai frecvente complica\u0163ii ale diabetului, afect\u00e2nd \u00eentre 15 \u2013 25% dintre pacien\u0163i. Afec\u0163iunea […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-7542","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=7542"}],"version-history":[{"count":5,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542\/revisions"}],"predecessor-version":[{"id":8459,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/7542\/revisions\/8459"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=7542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autor:\u00a0Simona Georgescu<\/span><\/p>\n
Piciorul diabetic este o problem\u0103 important\u0103 de s\u0103n\u0103tate din moment ce este adesea asociat\u0103 cu necesitatea amputa\u0163iei.
O serie de alte manifest\u0103ri cutanate pot afecta piciorul diabetic: infec\u0163ii bacteriene, micotice, necrobiosis lipoidica, granulomul inelar,etc. Datorit\u0103 complica\u0163iilor afec\u0163iunii tratamentul trebuie asigurat de o echip\u0103 multidisciplinar\u0103, incluz\u00e2nd dermatologi, diabetologi, podiatru, chirurg vascular.
Ulcerele din piciorul diabetic sunt \u00een mod caracteristic localizate \u00een ariile cu presiune crescut\u0103, la nivelul proeminen\u0163elor osoase, cum ar fi halucele planta sau articula\u0163iile metacarpofalangiene. Ulcerele sunt de form\u0103 circular\u0103 \u015fi sunt \u00eenconjurate de un inel de calus. Pot sa apar\u0103 deform\u0103ri ale piciorului precum degetele \u00een ghear\u0103 sau hallux valgus, iar tegumentele uscate, fisurate, cu hipercheratoz\u0103 sunt un indicator al polineuropatiei.
Managementul piciorului diabetic include m\u0103suri igieno-dietetice, debridarea \u015fi \u00eengrijirea ulcerelor. O multitudine de terapii moderne sunt \u00eenc\u0103 \u00een curs de evaluare.
\u00cen concluzie, modific\u0103rile cutanate din piciorul diabetic reprezint\u0103 o afec\u0163iune cu poten\u0163ial evolutiv grav, cu risc de amputa\u0163ie, o afec\u0163iune care trebuie tratat\u0103 de o echipa multidisciplinar\u0103. \u00cen ciuda progreselor inregistrate, preven\u0163ia r\u0103m\u00e2ne cea mai important\u0103 masur\u0103 terapeutic\u0103.<\/p>\n
Author:\u00a0Simona Georgescu<\/span><\/p>\n
Diabetic leg ulcers are typically located in areas of high pressure load, over bony prominences of feet, such as the toe, the sole or over the metacarpophalangeal joints. Ulcers are of circular shape and they are surrounded by a ring of callus. Deformities of the foot such as claw toe or hallux valgus can sometimes be observed and dry and fissured skin with hyperkeratosis and lack of hair are signs of polyneuropathy.
The management of diabetic foot includes the modification of predisposing factors, debridement and wound care. Various other modern treatments are now being investigated. However, prevention is of the utmost importance.
In conclusion, cutaneous changes in diabetic foot are serious conditions associated with high risk of foot amputation which should be managed by multidisciplinary teams of specialists. Despite advances in treatment options, prevention remains the most important intervention.<\/p>\n
Din anul 2011 \u2013 Profesor universitar la disciplina Dermatologie a Facult\u0103\u0163ii de Medicin\u0103 Dentar\u0103 U.M.F. \u201dCarol Davila\u201d Bucure\u015fti
Func\u0163ie<\/strong>
Profesor universitar doctor, \u015fef disciplina Dermatologie, Facultatea de Medicin\u0103 Dentar\u0103 U.M.F. \u201dCarol Davila\u201d Bucure\u015fti
\u015eef Clinica Dermatologie, Spitalul de Boli Infec\u0163ioase \u015fi Tropicale \u201eV. Babe\u015f\u201d Bucure\u015fti
Competen\u0163e dob\u00e2ndite:<\/strong>
\u2022 dermato-cosmetologie,
\u2022 laser \u00een dermatologie,
\u2022 dermatoscopie
Apartenen\u0163\u0103 la Societ\u0103\u0163i \u015etiin\u0163ifice:<\/strong>
\u2022 Membru al Societ\u0103\u0163ii Rom\u00e2ne de Dermatologie
\u2022 Membru al Academiei Europene de Dermatologie \u015fi Venerologie EADV
\u2022 Membru al Societ\u0103\u0163ii Europene de Cercetare \u00een Dermatologie ESDR
\u2022 Membru \u00een Consiliul Profesoral al Facult\u0103\u0163ii de Medicin\u0103 Dentar\u0103 UMF \u201eCarol Davila\u201d Bucure\u015fti (2004-prezent)
\u2022 Pre\u015fedinte al Consiliului de Administra\u0163ie Spitalul Clinic de Dermatologie \u201eProf. Dr. S. Longhin\u201d Bucure\u015fti (2004-2006, 2010-2011)<\/p>\n<\/span><\/p>\n
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n