It has been suggested that a possible etiologic factor in the causation of diabetic gangrene is the state of the weather. Beard1 noted that 95 per cent of the diabetic gangrene cases appearing at the University Hospital in Minneapolis entered during the winter months. Blotner and Fitz,2 in reporting sixty-nine cases of diabetic gangrene at the Peter Bent Brigham Hospital in Boston, observed that their cases also showed a greater frequency in the colder months of the year than during the warmer months, though their experience was by no means as striking as that of Beard. As corroborative evidence on the importance of cold in producing diabetic gangrene, they quote McLester of Birmingham as stating that it is an extremely rare complication in his experience, and Paullin as reporting that he had seen only fifteen cases of diabetic gangrene in 560 diabetic cases in Georgia. In the light
LEMANN II. DIABETIC GANGRENE IN THE SOUTH. JAMA. 1927;89(9):659–662. doi:10.1001/jama.1927.02690090009003
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