Practice of Diabetology Carola Zemlin M.D., Wanzleben/Germany
Anamnesis
69 years old, male, type 2 diabetes mellitus, diagnosis in 1975, insulin therapy 3x normal insulin and NPH insulin at night. Coronary heart disease, arterial occlusive disease and diabtic polyneuropathy, state after apoplexy with incomplete hemilateral paralysis. During the following therapeutic treatment in a hospital for rehabilitation a great lesion at the right heel emerges. It was treatet with a hydrocolloid dressing. According to his daughter´s predication the wound became greater and greater, why the patient went to see our ambulance after discharge.
Actual findings at 1999/02/24
Great ulcer with macerating wound edges, stinking wound coating, multiple necrosis.
Fig. 1: 1999/09/07
Fig. 2: Progress
Fig. 3: 1999/12/23
After extensive debridement and removal of the 6 mm deep necrosis, wound dressing with sterile LIGASANO®white. For decompression of the heel supply with an interrim shoe.
Already at 1999/12/23 the wound is minimised for 2/3, clean wound in granulation phase. No further monitoring because the patient died from a cerebral tumour.
Study about the use of LIGASANO® white as initial wound dressing at foot disease caused by diabetics, of Carola Zemlin, M.D., internist/diabetologist. For the evaluation of the study please click here.