Year 2018 / Volume 29 / Number 2

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Original Papers

Frequency of recurring onychocryptosis in diabetic population derived to a podiatric clinic

Rev. Esp. Pod. 2018; 29(2): 75-80 / DOI: 10.20986/revesppod.2018.1523/2018

Francesc Monés Serrano, Federico Vazquez San Miguel, Didac Mauricio Puente


ABSTRACT

Introduction: The present study evaluated the frequency of recurrent onychocryptosis in patients with DM mellitus.
Patients and methods: Prevalence observational transversal study. 146 individuals, diagnosed of any type of DM, except gestational DM, from the basic health area of the primary care office of Bufalà and Dr. Robert de Badalona, attended at a podiatry clinic through the diabetic foot program of the public health system in Catalonia. 2 individuals were ruled out by presenting exclusion criteria.The incidence of onychocryptosis and the type of commonly used foot cures was assessed, through a questionnaire answered by the patient. Presence of signs of neuropathy and or ischemia in lower limbs through clinical examination.
Results: A 33 % onychocryptosis frequency was found. No relationship was found between the presence of onychocryptosis with the age, evolution of DM, the presence of signs of polyneuropathy or ischemia, or the type of cure. Of the patients with onychocryptosis 29 % and 33 % presented signs of ischemia and polyneuropathy respectively.
Conclusions: One-third of the patients with DM submitted presented or presented onychocryptosis. Many of these patients also have diabetic foot risk factors: polyneuropathy and ischemia. Most patients with onychocryptosis carry out self-care measures at the feet without professional health control.



RESUMEN

Introducción: El presente estudio evaluó la frecuencia de onicocriptosis recurrente en pacientes con diabetes mellitus (DM).
Pacientes y métodos: Estudio transversal observacional de prevalencia. 146 individuos, diagnosticados de cualquier tipo de DM, excepto DM gestacional, del área básica de salud de los centros de atención primaria de Bufalà y Dr. Robert de Badalona, atendidos en un centro de podología a través del programa de pie diabético del sistema público de salud en Cataluña. Dos individuos se descartaron por presentar criterios de exclusión. Se valoró la incidencia de onicocriptosis y el tipo de curas de los pies realizadas habitualmente, a través de un cuestionario respondido por el paciente. Presencia de signos de neuropatía y o isquemia en extremidades inferiores a través de exploración clínica.
Resultados: Se encontró una frecuencia de onicocriptosis del 33 %. No se encontró relación entre presencia de onicocriptosis con la edad, años evolución de la DM, presencia de signos de polineuropatía o de isquemia, o el tipo de curas. De los pacientes con onicocriptosis, un 29 % y un 33 % presentaban signos de isquemia y polineuropatía, respectivamente.
Conclusiones: Un tercio de los pacientes con DM remitidos presentaba o ha presentado onicocriptosis. Cerca de un tercio de estos pacientes presentan además factores de riesgo de pie diabético: polineuropatía e isquemia. Dos tercios de los pacientes con onicocriptosis se realizan medidas de autocuidado en los pies sin control profesional sanitario.


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Instrucciones para citar

Monés Serrano F, Vazquez San Miguel F, Mauricio Puente D. Frequency of recurring onychocryptosis in diabetic population derived to a podiatric clinic. Rev Esp Pod 2018; 29(2): 75-80 / DOI: 1020986/revesppod20181523/2018


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Ficha Técnica

Recibido: 28/09/2018

Aceptado: 23/11/2018

Prepublicado: 27/11/2018

Publicado: 21/12/2018

Tiempo de revisión del artículo: 53 días

Tiempo de prepublicación: 60 días

Tiempo de edición del artículo: 84 días


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2024 Revista Española de Podología
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