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July 27, 1889


JAMA. 1889;XIII(4):126-128. doi:10.1001/jama.1889.04440030018004

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Phlegmonous and Gangrenous Processes in Diabetes.—Although the occurrence of purulent and gangrenous processes as the result of diabetes has been known for a long time, yet but little is known regarding the etiology, diagnosis and treatment of these processes. Formerly their etiology was sought in a specific action of sugar upon the tissues, Since König it is universally believed that especially diabetic phlegmon is the result of an infection the same as other phlegmons. As regards diabetic gangrene, Schüller is of the opinion that it is caused by acute arteriosclerosis and previous inflammations induced by pus-cocci. For the diagnosis of diabetic phlegmon the following points seem to be of importance: Development from an insignificant injury, its combination with gangrenous processes, and. its obstinacy.

Regarding the diagnosis of diabetic gangrene, its occurrence in still robust, relatively not old people, consequent upon some slight injury or inflammation, and its painfulness, are

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