BÁO ĐỘNG: TỪ MỘT VẾT LOÉT NHỎ - NGUY CƠ MẤT CẢ BÀN CHÂN Ở NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG

A seemingly minor skin lesion can develop into a serious complication if not detected and treated promptly—especially in people with diabetes.

A Warning Case at TNH Pho Yen Hospital

Recently, TNH Pho Yen Hospital admitted a 61-year-old patient (P.M.K) with a severe ulcer on the dorsum of the left foot. The lesion had spread widely, with multiple ulcers, purulent discharge, and signs of necrosis.

According to the patient’s medical history, the initial injury was just a small pimple. However, after about one month of self-treatment at home without improvement, the wound worsened, spread, and became increasingly difficult to control.

Notably, the patient had a long history of underlying conditions, including over 10 years of diabetes (with complications), hypertension, dyslipidemia, kidney failure, prior coronary stent placement, and long-term smoking. These are all high-risk factors that damage blood vessels, reduce blood supply to the limbs, and impair wound healing.

Risks of Diabetic Foot Ulcers

Clinical examination revealed multiple ulcers measuring 2–3 cm with irregular edges. The ulcer base contained yellow necrotic tissue along with thick purulent discharge. Surrounding skin was swollen, red, tense, and showed areas of superficial necrosis.

Importantly, the dorsalis pedis pulse was weak, and lower limb muscle strength was reduced—indicating significant ischemia.

Based on these findings, the patient was diagnosed with a diabetic foot ulcer—a serious complication that can lead to widespread infection and even limb amputation if not treated in time.

Comprehensive and Intensive Treatment

Immediately after admission, doctors initiated a comprehensive treatment plan:

• Wound culture to identify causative bacteria
• Antibiotic susceptibility testing for targeted therapy
• Appropriate antibiotic administration to control infection
• Revascularization to improve blood supply to the limb
• Surgical debridement of necrotic tissue
• Strict blood glucose control
• Management of associated cardiovascular conditions
• Liver and kidney function protection
• Nutritional support to promote healing

After a period of intensive treatment, the patient’s condition improved significantly: ulcers were well-controlled, discharge decreased, granulation tissue developed, inflammation subsided, limb circulation improved, and overall health stabilized.

Medical Recommendations

Doctors recommend that diabetic patients should:

• Perform daily foot care and inspection
• Maintain good blood glucose control
• Seek medical attention immediately when noticing abnormalities such as cuts, blisters, skin discoloration, pain, or loss of sensation

Early detection and timely treatment are crucial not only to prevent complications but also to preserve the limb and improve quality of life.

Do Not Underestimate Minor Injuries

For diabetic patients, even a small wound can be the beginning of a major complication. Proactive monitoring and early intervention are key to protecting your feet and long-term health.

Contact Information

TNH Hospital Group JSC

1900 8035

https://tnh.com.vn

Hospital System:

• TNH Pho Yen Hospital – Thai Nguyen
• TNH Lang Son Hospital – Lang Son
• Thai Nguyen International Hospital – Thai Nguyen
• TNH Viet Yen Hospital – Bac Ninh