第16巻 2020年10月　第4号

■綜説

糖尿病性足病変（Diabetic Foot）診療Up-to-date
高木　元
日本医科大学総合診療科

Up-to-date of Diagnosis and Management for Diabetic Foot
Gen Takagi
Department of ER and General Medicine, Nippon Medical School

Diabetic foot is one of the hallmarks of diabetes-related complications. In the last decade, numerous new treatment methods for diabetic foot have emerged, and current research studies are focusing on effective management of diabetic foot. This scientific review describes the impact of infection on the wound healing process, the crucial role of debridement in ensuring favorable outcomes with different treatment strategies, and practical guidelines for the diagnosis and clinical management of diabetic foot. Because wound infection and peripheral artery disease are key contributors to the risk of amputation, this review also discusses the diagnosis and management of these conditions. In addition, current controversies in the treatment of diabetic osteomyelitis are addressed. These essential discussions bring together relevant information on recent major strides made in the management of diabetic foot that caregivers need to know. A combination of the evidence-based therapies described here and emerging novel technologies may help keep diabetic patients infection free and ulcer free for a longer time than current treatment modalities.

日医大医会誌 2020; 16(4), 186-192

Key words
arteriosclerosis obliterans, osteomyelitis, critical limb threatening ischemia, regenerative medicine, hyperbaric oxygen therapy

Correspondence to
Gen Takagi, Department of ER and General Medicine, Nippon Medical School Tama-Nagayama Hospital, 1-7-1 Nagayama, Tama-shi, Tokyo 206-8512, Japan
E-mail：gen52@nms.ac.jp

受付：2020年4月20日　受理：2020年5月28日