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The role of infrared dermal thermometry in the management of neuropathic diabetic foot ulcers

Diabetic Medicine Sep 23, 2020

Ghosh A, Ray S, Garg MK, et al. - In this prospective observational study, researchers sought to assess the role of infrared (IR) dermal thermometry in the management of diabetic foot ulcers. Thirty candidates with unilateral neuropathic diabetic foot ulcers of University of Texas grade 1 or 2 (stage A) were tracked  monthly for 1 year. Skin temperatures were measured at the corresponding sites on both feet with an IR dermal thermometer at each visit, using contralateral feet without ulcers as controls. The average temperature and ulcer temperature of the affected feet were significantly higher than that of the unaffected feet, with a mean difference of 1.2 °C and 3.1 °C, respectively. Findings suggested that IR dermal thermometry may have a role to play in predicting diabetic foot ulcer healing, in determining the completeness of healing and in guiding the duration of offloading. Serial temperature gradient monitoring can predict the development of recurrent diabetic foot ulcers.

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