Journal of the American Podiatric Medical Association

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Open AccessLetter

Gout and Hypothyroidism

by Paul E. Gregoline, Mickey L. Peshoff and Michael J. Trepal

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 394-396; https://doi.org/10.7547/87507315-87-8-394 - 1 Aug 1997

Cited by 3 | Viewed by 97

A case of gout in a patient with primary hypothyroidism has been presented. Often missed as a companion of gout, hypothyroidism has a frequency of occurrence with gout that is significant and is probably a precipitating factor in these gouty attacks. The physician [...] Read more.

A case of gout in a patient with primary hypothyroidism has been presented. Often missed as a companion of gout, hypothyroidism has a frequency of occurrence with gout that is significant and is probably a precipitating factor in these gouty attacks. The physician should be alert for signs and symptoms of this often occult disease in patients with hyperuricemia and gout. Full article

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Open AccessLetter

Treatment of Venous Ulcers With Human Skin Equivalent

by Morton I. Altman

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 392-394; https://doi.org/10.7547/87507315-87-8-392 - 1 Aug 1997

Cited by 6 | Viewed by 56

Abstract

In the author's clinical experience in rating venous ulcers, human skin equivalent has been efficacious, safe, cost-effective, and easy to use. This innovation is likely to become an important therapeutic tool for podiatric physicians who treat venous ulcers. Leg ulcers are a large [...] Read more.

In the author's clinical experience in rating venous ulcers, human skin equivalent has been efficacious, safe, cost-effective, and easy to use. This innovation is likely to become an important therapeutic tool for podiatric physicians who treat venous ulcers. Leg ulcers are a large economic burden to society, both in direct and total costs, including patient time lost from work for labor- and time-intensive therapies. The cost-containing measures of the managed care environment encourage treatment of venous ulcers in an outpatient center. Because human skin equivalent can be applied in such a setting, podiatric physicians will be able to treat venous ulcers routinely without referring patients to more costly settings such as hospitals or surgical centers. Because human skin equivalent is an effective alternative to standard venous ulcer therapies, this agent, which is currently under review by the Food and Drug Administration, should provide a viable treatment that may reduce the total costs associated with venous ulcer care. Full article

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Open AccessCase Report

Angioleiomyoma of the Lower Extremity

by Jason R. Hanft, Jaime A. Carbonell and Hao Q. Do

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 388-391; https://doi.org/10.7547/87507315-87-8-388 - 1 Aug 1997

Cited by 25 | Viewed by 61

Abstract

Angioleiomyomas are benign soft tissue lesions that should be included in the differential diagnosis of any pedal soft tissue mass. There should be an increased index of suspicion for angioleiomyoma, especially when a freely movable subcutaneous mass is encountered in a middle-aged female [...] Read more.

Angioleiomyomas are benign soft tissue lesions that should be included in the differential diagnosis of any pedal soft tissue mass. There should be an increased index of suspicion for angioleiomyoma, especially when a freely movable subcutaneous mass is encountered in a middle-aged female patient. Treatment of such masses should involve surgical excision to relieve the symptomatology and to obtain tissue for a definitive histologic analysis. If the mass recurs, then the possibility of leiomyosarcoma should be explored Full article

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Open AccessCase Report

Sickle Cell Myonecrosis Involving the Plantar Musculature

by Jay Groves and Richard G. Stiles

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 384-388; https://doi.org/10.7547/87507315-87-8-384 - 1 Aug 1997

Cited by 3 | Viewed by 70

Abstract

Full article

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Open AccessCase Report

Imaging of Digital Neuromas

by Robert L. Baron, Adolph W. Galinski and Mary Vlahos

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 380-384; https://doi.org/10.7547/87507315-87-8-380 - 1 Aug 1997

Cited by 1 | Viewed by 53

Abstract

In this case presentation, an incision was made on the nonweightbearing surface of the hallux directly over the mass in question, just long enough to allow for the isolation of the entire mass. This permitted easier identification of the mass and enabled dissection [...] Read more.

In this case presentation, an incision was made on the nonweightbearing surface of the hallux directly over the mass in question, just long enough to allow for the isolation of the entire mass. This permitted easier identification of the mass and enabled dissection of the abnormal tissue and excision of only the tumor with a minimum of tissue trauma. Healing was uneventful and expedient largely because of the reduced tissue handling. Prior to the advent of magnetic resonance imaging, this type of preoperative detailed surgical mapping would not have been possible. Continuing improvements in magnetic resonance imaging hold great and increasing promise. Full article

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Open AccessArticle

Management of Painful Diabetic Neuropathy. A Treatment Algorithm

by Jeffrey C. Page and Eric Y. Chen

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 370-379; https://doi.org/10.7547/87507315-87-8-370 - 1 Aug 1997

Cited by 15 | Viewed by 63

Abstract

Peripheral neuropathy manifests as a painful syndrome in a significant number of individuals suffering from diabetes mellitus. Painful diabetic neuropathy may interfere with sleep, work, and activities of daily living. Patients and practitioners alike often view this challenging disorder as incurable. A broad [...] Read more.

Peripheral neuropathy manifests as a painful syndrome in a significant number of individuals suffering from diabetes mellitus. Painful diabetic neuropathy may interfere with sleep, work, and activities of daily living. Patients and practitioners alike often view this challenging disorder as incurable. A broad spectrum of therapeutic alternatives and physiologic approaches to this complex clinical problem are available. Careful assessment and a rational approach based on the nature and location of pain will lead to success. The authors review the etiology, clinical presentation, and diagnosis of diabetic peripheral neuropathy. Available therapeutic alternatives are emphasized and an original treatment algorithm is presented. Full article

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Open AccessArticle

Factors Associated With Pedal Ulceration in Patients With Diabetes Mellitus

by Mardon R. Day and Lawrence B. Harkless

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 365-369; https://doi.org/10.7547/87507315-87-8-365 - 1 Aug 1997

Cited by 15 | Viewed by 53

Abstract

Understanding the factors associated with pedal ulceration in patients with diabetes mellitus will increase the successful management of the high-risk diabetic foot and decrease the occurrence of ulcerative events. The authors review the associative factors that have been shown to be involved with [...] Read more.

Understanding the factors associated with pedal ulceration in patients with diabetes mellitus will increase the successful management of the high-risk diabetic foot and decrease the occurrence of ulcerative events. The authors review the associative factors that have been shown to be involved with pedal ulceration. Full article

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Open AccessArticle

Therapeutic Footwear Helps Protect the Diabetic Foot

by Michael J. Mueller

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 360-364; https://doi.org/10.7547/87507315-87-8-360 - 1 Aug 1997

Cited by 35 | Viewed by 107

Abstract

There is evidence to indicate that therapeutic footwear can help prevent lower extremity amputation in patients with diabetes. The primary means of preventing amputation is to protect the insensitive foot from unnoticed trauma and excessive plantar pressures that occur during walking. The specific [...] Read more.

There is evidence to indicate that therapeutic footwear can help prevent lower extremity amputation in patients with diabetes. The primary means of preventing amputation is to protect the insensitive foot from unnoticed trauma and excessive plantar pressures that occur during walking. The specific prescription of the shoe will depend on many foot risk criteria, but particularly on the patient's level of sensation, history of ulceration, and the amount of foot deformity. This article describes the type of footwear recommended for each of these increasing levels of foot risk categories. Full article

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Open AccessArticle

Current Methods of Measuring Ulcers. A Review

by Elissa Houghton and Cameron Kippen

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 358-359; https://doi.org/10.7547/87507315-87-8-358 - 1 Aug 1997

Cited by 2 | Viewed by 59

Abstract

Following a critique of the literature concerning two-dimensional and three-dimensional measurement of ulcers, the authors describe an interrater and intrarater reliability study on linear measurement of an ulcer. Analysis of the results infers that neither method is reliable. Full article

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Open AccessCase Report

Off-loading Neuropathic Wounds Associated With Diabetes Using An Ankle-foot Orthosis

by Adam S. Landsman and Ronald Sage

J. Am. Podiatr. Med. Assoc. 1997, 87(8), 349-357; https://doi.org/10.7547/87507315-87-8-349 - 1 Aug 1997

Cited by 13 | Viewed by 54

Abstract

Patients with chronic diabetes have a broad spectrum of associated peripheral neurologic deficits that culminate in an increased susceptibility to ulcer formation. The authors focus on the use of the ankle-foot orthosis as both a treatment and a definitive solution for achieving ulcer [...] Read more.

Patients with chronic diabetes have a broad spectrum of associated peripheral neurologic deficits that culminate in an increased susceptibility to ulcer formation. The authors focus on the use of the ankle-foot orthosis as both a treatment and a definitive solution for achieving ulcer closure and for minimizing the chance of ulcer recurrence in the ambulatory patient. An analysis of the pathologic forces encountered, and the solution achieved with the ankle-foot orthosis is presented. In addition, the results from a clinical pilot study in subjects with recalcitrant ulcers secondary to Charcot's neuroarthropathy are presented. Full article

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J. Am. Podiatr. Med. Assoc., Volume 87, Issue 8 (08 1997) – 10 articles , Pages 349-396

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