The Foot in Systemic Sclerosis
Carsten Scheibye
Orthotics I Biomechanics I Gait Analysis I Diabetic Foot Care I Foot Posture I Orthopaedic Rehabilitation I Foot Insoles
Systemic Sclerosis refers to a rheumatic disease which is marked by excessive production of collagen leading to microvascular and macrovascular dysfunction and fibrosis of the skin and internal organs.
While the aetiology of the disease remains unclear, Abraham et al. suggest the pathological events contributing to its progression as inefficient communication between the endothelial cells, epithelial cells and fibroblasts in addition to lymphocyte activation, autoantibody production, inflammation and connective tissue fibrosis.
Patients with systemic sclerosis have similar foot symptomatology to patients with rheumatoid arthritis namely, bone erosions and subcutaneous fat atrophy which lead to plantar fat-pad atrophy and subsequently increase plantar foot pressure.
Abnormal levels of plantar pressure serve as a significant risk factor for foot ulceration which can lead to serious consequences especially in patients with diabetes; if left untreated, foot ulcers may eventually necessitate lower limb amputation in systemic sclerosis ................ Continue reading on mass4d.com: The Foot in Systemic Sclerosis
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SADF uddannet fodplejer. Ejer af Kregme Fodplejeklinik, Frederiksværk
7yMeget interessant som fodplejer. Jeg har en kunde hvor det ligner og jeg har sendt vedkommende til ortopædkirurg fordi det er forbundet med smerter ved grundled a Hallux