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Letters

Don’t forget peripheral arterial disease in diabetic foot osteomyelitis

Dion L. Davidson
CMAJ March 06, 2017 189 (9) E374; DOI: https://doi.org/10.1503/cmaj.732589
Dion L. Davidson
Vascular surgeon, Valley Regional Hospital, Kentville, NS
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Drs. Mutluoglu and Lipsky provide five things to know about an important and common affliction that can lead to severe illness and limb loss.1 Number six should be to assess for peripheral arterial disease.

Ankle brachial index measurements are often falsely elevated (and so can appear falsely reassuring) in patients with diabetes. If you cannot confidently palpate pedal pulses, please call a vascular surgeon.

Footnotes

  • Competing interests: None declared.

Reference

  1. ↵
    1. Mutluoglu M,
    2. Lipsky BA
    . Diabetic foot osteomyelitis. CMAJ 2016;188:E535.
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Canadian Medical Association Journal: 189 (9)
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Vol. 189, Issue 9
6 Mar 2017
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Don’t forget peripheral arterial disease in diabetic foot osteomyelitis
Dion L. Davidson
CMAJ Mar 2017, 189 (9) E374; DOI: 10.1503/cmaj.732589

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Don’t forget peripheral arterial disease in diabetic foot osteomyelitis
Dion L. Davidson
CMAJ Mar 2017, 189 (9) E374; DOI: 10.1503/cmaj.732589
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