Acute Limb Ischemia on Diabetic Patient: A Case Report and Literature Review

DOI

10.2991/978-94-6463-048-0_19How to use a DOI?

Keywords

Acute limb ischemia; Diabetes; Peripheral artery disease

Abstract

It’s estimated that 236.62 million people aged 25 years and older had peripheral artery disease around the world. Diabetes was also highly linked to PAD. Most likely due to neuropathy, patients with both diabetes and PAD have a rapid progression of their PAD. We report the case of a 58 years old woman, presented with acute onset of left foot pain within 1 week of symptom onset. She indicated that her proximal left foot pain felt like “on fire”, and she cannot feel the distal part. She had a history of diabetes for three years prior, with routine glimepiride and metformin consumption. On extremity examination, the left foot was cold, partly mottled, with fixed blue staining on the distal part. Patient was unable to move her toes, but she’s able to actively move her left foot although limited because of the pain. On vascular examination, there was no evidence on femoral bruits, but pulsation of left popliteal arteries were diminished as confirmed by Doppler Ultrasonography, compared to the right side. On neurological examination, we found complete loss of light touch sensation in the distal part of the left foot. Due to the terminal state of the illness, patients were indicated for surgical above knee amputation. Post-surgical evaluation, patients had neither fever nor other complications. Minimal patient understanding about symptoms of time-critical conditions can lead to treatment delay and worse outcomes..

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Achmad Bima Aryaputra
AU  - Hendry Purnasidha Bagaswoto
AU  - Taufiq Nugroho
AU  - Ana Fauziyati
PY  - 2022
DA  - 2022/12/19
TI  - Acute Limb Ischemia on Diabetic Patient: A Case Report and Literature Review
BT  - Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021)
PB  - Atlantis Press
SP  - 161
EP  - 172
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-048-0_19
DO  - 10.2991/978-94-6463-048-0_19
ID  - Aryaputra2022
ER  -