Why do small wounds that appear for no reason?

Mr. Wang from Changsha has recently had a difficult trouble. Half a month ago, he inadvertently found a sesame -sized wound in the roots of the left thigh. Considering that he suffers from diabetes, Mr. Wang dare not care about it, and specially bought drugs that disinfected and stopped bleeding daily on the wound. However, the small wounds did not improve as expected, but the longer and larger, and the surface began to appear light yellow secretions. Mr. Wang hurried to the third hospital in Changsha.

During the examination of the doctor, Mr. Wang found that he found that there was an ulcer with a diameter of 2.5 cm in his left groin, and there was a little seepage on the surface. Random blood sugar also prompted poor blood sugar control. The doctor considers Mr. Wang for skin infection.

"I pay great attention as soon as the wound appears. How can I still be infected every day?" Mr. Wang was helpless. Huang Debin, director of the Department of Endocrine Metabolism, explained that skin infections are one of the most common skin lesions in diabetic patients. This is related to various factors such as diabetic patients with low immune function, hyperglycemia stimulating peripheral nerves, vascular arteriosclerosis, and microcirculation disorders. , Bacterial or virus infection, causing ringworm, cymbal, dysentery, folliculitis, herpes, among which fungal infections are the most common; severe cases may occur, infectious shock, limb gangrene, etc.

Mr. Wang is 187 cm tall and weighs 129 kg. The BMI is as high as 36.9 kg/square meter. It belongs to severe obesity. The skin itself has more folds at the groin. In the case of repeated friction, skin damage occurs. He has suffered from diabetes for many years. Even if he takes oral hypoglycemic drugs for a long time, the blood glucose control is not ideal, coupled with the hot weather, repeated sweating, and multiple factors, this leads to the delay of small wounds, and the simple medication disinfection centers start The role is very limited.

After accepting anti -infection, insulin hypoglycemic, local debridement replacement, etc. for more than a month, the wound at the left groin of Mr. Wang gradually healed. Huang Debin introduced that in addition to skin infection, diabetic skin lesions may also have long -term extension of the lower limbs with multiple pigmentation, skin itching, diabetic skin redness, and diabetic sweat -free disease. Scientific sugar control and regular monitoring are important methods to prevent these diabetic skin lesions.

Huang Debin reminded diabetic patients that once the skin is damaged and wounds, it is recommended to diagnose and treat under the guidance of regular hospitals or doctors. Do not deal with themselves to avoid poor wound healing, aggravating, or even merging infection, and have more serious consequences.

Edit: Liu Qian

Source: Zhang Huiling, Department of Endocrinology Metro Metro, Changsha Third Hospital, Zhang Huiling

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