DIABETIC FOOT: CORRELATION BETWEEN CLINICAL ABNORMALITIES AND ELECTROPHYSIOLOGICAL STUDIES

DIABETIC FOOT: CORRELATION BETWEEN CLINICAL ABNORMALITIES AND ELECTROPHYSIOLOGICAL STUDIES

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Diabetic foot ulceration is fanimation triaire 52 a serious and expensive complication with considerable morbidity that affects up to 15% of diabetic patients during their lifetime and 80-85% of amputations are preceded by foot ulcers.The aim of this work is to study the correlation between severity of clinical abnormalities and electrophysiological studies in diabetic foot ulcers.This study was a cross sectional evaluation of 44 patients with diabetic foot ulcers seen in 2 hospitals in Basrah (Al-Faiha General and Basrah Teaching) from October 2003 to July 2004.

All patients were type 2 diabetes mellitus.The sensitivity of numbness, burning feeling, pricking feeling and worse symptom at night was 84.6%, 69.

2%, 61.5% and 51.5% respectively.

While sensitivity of decreased pin prick sensation, absent vibration sense, absent ankle jerk, decreased temperature sensations and absent position sense was 100%, 87.2%, 71.8%, 56.

5% and 12.8% respectively.Sensitivity of 44th ibct patch combined clinical symptoms was 66.

6%, with specificity of 40%, and predictive value of 89.6% while that of clinical signs 48.7% and 60% respectively and predictive value of 90.

4 %.There was no significant difference in severity of electrophysiological abnormalities in the affected and non-affected feet.Clinical findings was correlated well with the severity of electrophysiological changes in patients with diabetic foot ulcers.