Malum Perforans Pedis – Case Report
Science Journal of Clinical Medicine
Volume 5, Issue 3, May 2016, Pages: 29-31
Received: Mar. 15, 2016;
Accepted: Mar. 31, 2016;
Published: Apr. 25, 2016
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Antigona Begolli Gerqari, Dermatovenerology Clinic, University Clinical Center, Prishtina, Republic of Kosovo
Mybera Ferizi, Dermatovenerology Clinic, University Clinical Center, Prishtina, Republic of Kosovo
Sadije Halimi, Dermatovenerology Clinic, University Clinical Center, Prishtina, Republic of Kosovo
Aferdita Daka, Dermatovenerology Clinic, University Clinical Center, Prishtina, Republic of Kosovo
Syzana Hapciu, Dermatovenerology Clinic, University Clinical Center, Prishtina, Republic of Kosovo
Ilir Begolli, National Public Health Institute, Prishtina, Republic of Kosovo
Mirije Begolli, Pediatric Clinic-University Clinical Center, Prishtina, Republic of Kosovo
Idriz Gerqari, Nuclear Medicine Department-University Clinical Center, Prishtina, Republic of Kosovo
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Background: Malum perforans pedis is a chronic disease characterized by a punched out ulceration that may enlarge. The ulcer is localisated in a foot. It is a complication of the primary disease of the different origin that is always presented with a vaculopathies or neuropathies, and is common in diabetic patients. Malum perforans pedis appears in a sole of the foot and mostly occurs with no pain. The disease is mostly caused by the pressing of the underlain bone and a chronic trauma on a poor blood flow of the tissue. The treatment consists: on a treatment of the primary disease-vaculopathy and neuropathy; the local treatment includes treatment of the infection and the wound treatment through surgery and skin grafting. Case presentation: This paper presents a case of a 49 year old woman with the ulceration on a sole of the left foot that did appeared before four months. The patient claims that the changes began after wearing shoes that hurt her foot. The patient also claims that during the past year she had some signs of diabetes and the measure of the blood sugar shows high levels. The patient also gives interesting data that during the last few years she have had used cosmetics which contained mercury. Conclusions: Malum perforans pedis is a disease where the patient loses the feeling of pain and the chronic trauma causes the injury and following that during the time the defect in a skin enlarges and makes a trophic ulcer in a various size and form. It also depends on a microangiopathies due to diabetes and arteriosclerosis.
Malum Perforans Pedis, Diabetes Mellitus, Diabetic Foot
To cite this article
Antigona Begolli Gerqari,
Malum Perforans Pedis – Case Report, Science Journal of Clinical Medicine.
Vol. 5, No. 3,
2016, pp. 29-31.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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Tesch M. Spinal claudication and malum perforans pedis. Late sequela of ankylosing spondylitis (Bechterew disease) with cystic lumbosacral arachnopathy. Nervenarzt 1994; 65: 874-7.
Nishio K, Yamamoto O, Tsukahara J. Malum perforans pedis caused by spinal canal stenosis and spondylolisthesis. J UOEH 1984; 6:171-6.
Shaw JE, Hsi WL, Ulbrecht JS, Norkitis A, BeckerMB, Cavanagh PR. The mechanism of plantar unloadingin total contact casts: implications for designand clinical use. Foot Ankle Int 1997; 18: 809-17.
Steed DL. Clinical evaluation of recombinant human Platelet-derived growth factor for the treatment of lower extremity ulcers. Plast Reconstr Surg. 2006; 117(Suppl 7): 143S-149S.
James WD, Berger TG, Elston DM. Pruritus and neurocutaneous dermatoses, Andrews diseases of the skin clinical dermatology, 10th edition, ElsevierInc. 2006. p. 65-66.
Shats EI, Iushchenko AA. Clinico-epidemiologic characteristics of neurotrophic ulcers of the feet in patients with leprosy. VestnDermatolVenerol1988; 12: 37-41.
Neuropathic pain – pharmacological management: The pharmacological management of neuropathic pain in adults in non-specialist settings; NICE Clinical Guideline (Nov 2013).
Management of diabetes; Scottish Intercollegiate Guidelines Network - SIGN (March 2010).
Type 2 diabetes: Prevention and management of foot problems; NICE Clinical Guideline (January 2004).
Alavi A, Sibbald RG, Mayer D, et al; Diabetic foot ulcers: Part II. Management. J Am Acad Dermatol. 2014 Jan; 70(1): 21.e1-24; quiz 45-6. doi: 10.1016/j.jaad.2013.07.048.
Vuorisalo S, Venermo M, Lepantalo M; Treatment of diabetic foot ulcers. J Cardiovasc Surg (Torino). 2009 Jun; 50(3): 275-91.