Dr. Tahzeeb Mazhar, Dr. Ayemon Fatima, Dr. Afeera Ahmad
Diabetic foot complications are the most common cause of non-traumatic lower extremity amputations in the industrialized world. The basic aim of the study is to examine the risk factors for foot ulcers in patients with diabetes mellitus in local population of Pakistan. This cross sectional study was conducted at Nishtar Hospital, Multan during Jan 2019 to December 2019. In this descriptive analytical study all patients with diabetes under 65 years referred to the hospital were studied. Exclusion criteria of the study were hypothyroidism, pernicious anemia, discopathy, malignancy because they can also lead to neuropathy. Forty patients with foot ulcers were treated at the hospital during this period. Forty controls attending the same diabetic clinic during the same period were also selected for the analysis. The mean age of the total sample was 55.5 years. The majority of the sample was male (51.1%), non-smokers (95.6%) and did not have hypertension (67.8%). It is concluded that it is difficult to treat the foot ulcer in diabetic patients. It can be difficult to differentiate local soft tissue infection and inflammation from osteomyelitis. Three-phase bone scans and radiolabelled leukocyte scans are expensive but can help to establish an accurate diagnosis in problematic cases.