Tropical Diabetic Hand Syndrome in Patients with Diabetic Nephropathy

Hermina Novida and Budi Dharma and Agung Pranoto and Soebagijo Adi Soelistijo and Sri Murtiwi and Sony Wibisono (2017) Tropical Diabetic Hand Syndrome in Patients with Diabetic Nephropathy. Proceedings of the International Meeting on Regenerative Medicine. pp. 370-374. ISSN 2184-3635

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Abstract

Diabetic nephropathy syndrome is a condition of dysfunction in the vascular endothelial, smooth muscle cells of the blood vessels, as well as in the renal mesangial cells. This causes the occurrence of microvascular locus ischemic and local hypoxia 2. Diabetic nephropathy slows the wound healing process of Tropical Diabetic Hand Syndrome (TDHS) which is a specific complication in the hands experienced by patients with diabetes mellitus (DM). A patient presented with type 2 DM who had complications of TDHS and diabetic nephropathy. The risk factors for TDHS in these patients are female gender, age 52 years, poor glycemic control, and delay in seeking treatment. The terminal nephropathy condition of terminal diabetes has a poor prognosis in TDHS and the sepsis complication of TDHS is a risk factor for worsening renal function in diabetic nephropathy. TDHS management includes hospitalization, elevation of the affected hand, optimal blood glucose control, antibiotics and wound care in the form of incision, debridement, and drainage, if necessary, for further surgery and other rehabilitation measures. The approach of diabetic nephropathy therapy includes diagnosis, detecting other comorbid conditions, blood glucose regulation, hypertension regulation and proteinuria, dietary regulation, and multifactorial intervention. Education for TDHS patients and diabetic nephropathy is still the most important prevention tool in developing countries.

Item Type: Article
Uncontrolled Keywords: Diabetes Mellitus type 2, Tropical Diabetic Hand, Diabetic Nephropathy Syndrome, Complications of Diabetes Mellitus, Terminal Stage
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: 01. Fakultas Kedokteran > Ilmu Penyakit Dalam
Creators:
CreatorsNIM
Hermina NovidaNIDN0012117705
Budi DharmaUNSPECIFIED
Agung PranotoNIDN0004015605
Soebagijo Adi SoelistijoNIDN8837500016
Sri MurtiwiUNSPECIFIED
Sony WibisonoNIDN8827800016
Depositing User: arys fk
Date Deposited: 06 Jul 2021 08:34
Last Modified: 06 Jul 2021 08:34
URI: http://repository.unair.ac.id/id/eprint/108438
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