. . . . . . . . . . . . . . "Un mal perforant plantaire est une atteinte du pied caract\u00E9ris\u00E9e par une ulc\u00E9ration de la face plantaire, dont le caract\u00E8re indolore favorise l'aggravation. Dans le cas du diab\u00E8te, \u00AB il t\u00E9moigne de l\u2019anciennet\u00E9 du diab\u00E8te et souvent du mauvais contr\u00F4le glyc\u00E9mique \u00BB et n\u00E9cessite une prise en charge appropri\u00E9e et si n\u00E9cessaire multidisciplinaire."@fr . . "Diabetic foot ulcer is a major complication of diabetes mellitus, and probably the major component of the diabetic foot. Wound healing is an innate mechanism of action that works reliably most of the time. A key feature of wound healing is stepwise repair of lost extracellular matrix (ECM) that forms the largest component of the dermal skin layer. But in some cases, certain disorders or physiological insult disturbs the wound healing process. Diabetes mellitus is one such metabolic disorder that impedes the normal steps of the wound healing process. Many studies show a prolonged inflammatory phase in diabetic wounds, which causes a delay in the formation of mature granulation tissue and a parallel reduction in wound tensile strength. Treatment of diabetic foot ulcers should include: blood sugar control, removal of dead tissue from the wound, wound dressings, and removing pressure from the wound through techniques such as total contact casting. Surgery in some cases may improve outcomes. Hyperbaric oxygen therapy may also help but is expensive. It occurs in 15% of people with diabetes, and precedes 84% of all diabetes-related lower-leg amputations."@en . "43129588"^^ . . . . "Mal perforant plantaire"@fr . . . . . . . "\u062A\u064F\u0639\u062F \u0642\u0631\u062D\u0629 \u0627\u0644\u0642\u062F\u0645 \u0627\u0644\u0633\u0643\u0631\u064A\u0629 (\u0628\u0627\u0644\u0625\u0646\u062C\u0644\u064A\u0632\u064A\u0629 Diabetic foot ulcer) \u0645\u0646 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062A \u0627\u0644\u0643\u0628\u0631\u0649 \u0644\u0644\u062F\u0627\u0621 \u0627\u0644\u0633\u0643\u0631\u064A\u060C \u0648\u0642\u062F \u062A\u0643\u0648\u0646 \u0627\u0644\u0639\u0646\u0635\u0631 \u0627\u0644\u0623\u0647\u0645 \u0641\u064A \u0645\u0631\u0636 \u0627\u0644\u0642\u062F\u0645 \u0627\u0644\u0633\u0643\u0631\u064A\u0629. \u0625\u0646 \u0627\u0644\u062A\u0626\u0627\u0645 \u0627\u0644\u062C\u0631\u0648\u062D \u0622\u0644\u064A\u0629 \u063A\u0631\u0627\u0626\u0632\u064A\u0629 \u062A\u0639\u0645\u0644 \u0628\u0634\u0643\u0644 \u0635\u062D\u064A\u062D \u0645\u0639\u0638\u0645 \u0627\u0644\u0648\u0642\u062A\u060C \u0648\u064A\u0645\u064A\u0632\u0647\u0627 \u0627\u0644\u0625\u0635\u0644\u0627\u062D \u0627\u0644\u062A\u062F\u0631\u064A\u062C\u064A \u0644\u0644\u0646\u0633\u064A\u062C \u0627\u0644\u0628\u064A\u0646\u064A \u062E\u0627\u0631\u062C \u0627\u0644\u062E\u0644\u0648\u064A \u0627\u0644\u0630\u064A \u064A\u0634\u0643\u0644 \u0627\u0644\u0645\u0643\u0648\u0646 \u0627\u0644\u0623\u0643\u0628\u0631 \u0641\u064A \u0637\u0628\u0642\u0629 \u0627\u0644\u0623\u062F\u0645\u0629 \u0627\u0644\u062C\u0644\u062F\u064A\u0629. \u0644\u0643\u0646 \u062A\u062A\u0639\u0637\u0644 \u0647\u0630\u0647 \u0627\u0644\u0639\u0645\u0644\u064A\u0629 \u0641\u064A \u0628\u0639\u0636 \u0627\u0644\u062D\u0627\u0644\u0627\u062A \u0646\u062A\u064A\u062C\u0629 \u0628\u0639\u0636 \u0627\u0644\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062A \u0648\u0627\u0644\u0645\u0634\u0627\u0643\u0644 \u0627\u0644\u0641\u0633\u064A\u0648\u0644\u0648\u062C\u064A\u0629. \u062A\u062D\u062F\u062B \u0627\u0644\u0642\u0631\u062D\u0629 \u0639\u0646\u062F 15% \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0633\u0643\u0631\u064A\u064A\u0646\u060C \u0648\u062A\u0633\u0628\u0642 84% \u0645\u0646 \u062C\u0645\u064A\u0639 \u062D\u0627\u0644\u0627\u062A \u0628\u062A\u0631 \u0627\u0644\u0637\u0631\u0641 \u0627\u0644\u0633\u0641\u0644\u064A \u0627\u0644\u0645\u062A\u0639\u0644\u0642\u0629 \u0628\u0627\u0644\u062F\u0627\u0621 \u0627\u0644\u0633\u0643\u0631\u064A."@ar . "Ulcera diabetica"@it . . . . . . . . . "Un mal perforant plantaire est une atteinte du pied caract\u00E9ris\u00E9e par une ulc\u00E9ration de la face plantaire, dont le caract\u00E8re indolore favorise l'aggravation. Dans le cas du diab\u00E8te, \u00AB il t\u00E9moigne de l\u2019anciennet\u00E9 du diab\u00E8te et souvent du mauvais contr\u00F4le glyc\u00E9mique \u00BB et n\u00E9cessite une prise en charge appropri\u00E9e et si n\u00E9cessaire multidisciplinaire."@fr . . . . "\u062A\u064F\u0639\u062F \u0642\u0631\u062D\u0629 \u0627\u0644\u0642\u062F\u0645 \u0627\u0644\u0633\u0643\u0631\u064A\u0629 (\u0628\u0627\u0644\u0625\u0646\u062C\u0644\u064A\u0632\u064A\u0629 Diabetic foot ulcer) \u0645\u0646 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062A \u0627\u0644\u0643\u0628\u0631\u0649 \u0644\u0644\u062F\u0627\u0621 \u0627\u0644\u0633\u0643\u0631\u064A\u060C \u0648\u0642\u062F \u062A\u0643\u0648\u0646 \u0627\u0644\u0639\u0646\u0635\u0631 \u0627\u0644\u0623\u0647\u0645 \u0641\u064A \u0645\u0631\u0636 \u0627\u0644\u0642\u062F\u0645 \u0627\u0644\u0633\u0643\u0631\u064A\u0629. \u0625\u0646 \u0627\u0644\u062A\u0626\u0627\u0645 \u0627\u0644\u062C\u0631\u0648\u062D \u0622\u0644\u064A\u0629 \u063A\u0631\u0627\u0626\u0632\u064A\u0629 \u062A\u0639\u0645\u0644 \u0628\u0634\u0643\u0644 \u0635\u062D\u064A\u062D \u0645\u0639\u0638\u0645 \u0627\u0644\u0648\u0642\u062A\u060C \u0648\u064A\u0645\u064A\u0632\u0647\u0627 \u0627\u0644\u0625\u0635\u0644\u0627\u062D \u0627\u0644\u062A\u062F\u0631\u064A\u062C\u064A \u0644\u0644\u0646\u0633\u064A\u062C \u0627\u0644\u0628\u064A\u0646\u064A \u062E\u0627\u0631\u062C \u0627\u0644\u062E\u0644\u0648\u064A \u0627\u0644\u0630\u064A \u064A\u0634\u0643\u0644 \u0627\u0644\u0645\u0643\u0648\u0646 \u0627\u0644\u0623\u0643\u0628\u0631 \u0641\u064A \u0637\u0628\u0642\u0629 \u0627\u0644\u0623\u062F\u0645\u0629 \u0627\u0644\u062C\u0644\u062F\u064A\u0629. \u0644\u0643\u0646 \u062A\u062A\u0639\u0637\u0644 \u0647\u0630\u0647 \u0627\u0644\u0639\u0645\u0644\u064A\u0629 \u0641\u064A \u0628\u0639\u0636 \u0627\u0644\u062D\u0627\u0644\u0627\u062A \u0646\u062A\u064A\u062C\u0629 \u0628\u0639\u0636 \u0627\u0644\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062A \u0648\u0627\u0644\u0645\u0634\u0627\u0643\u0644 \u0627\u0644\u0641\u0633\u064A\u0648\u0644\u0648\u062C\u064A\u0629. \u064A\u0645\u062B\u0644 \u0627\u0644\u062F\u0627\u0621 \u0627\u0644\u0633\u0643\u0631\u064A \u0623\u062D\u062F \u0627\u0644\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062A \u0627\u0644\u0627\u0633\u062A\u0642\u0644\u0627\u0628\u064A\u0629 \u0627\u0644\u062A\u064A \u062A\u0639\u064A\u0642 \u0627\u0644\u062E\u0637\u0648\u0627\u062A \u0627\u0644\u0637\u0628\u064A\u0639\u064A\u0629 \u0641\u064A \u0639\u0645\u0644\u064A\u0629 \u0627\u0644\u062A\u0626\u0627\u0645 \u0627\u0644\u062C\u0631\u0648\u062D. \u062A\u064F\u0638\u0647\u0631 \u0627\u0644\u0639\u062F\u064A\u062F \u0645\u0646 \u0627\u0644\u062F\u0631\u0627\u0633\u0627\u062A \u062A\u0637\u0627\u0648\u0644 \u0627\u0644\u0639\u0645\u0644\u064A\u0629 \u0627\u0644\u0627\u0644\u062A\u0647\u0627\u0628\u064A\u0629 \u0641\u064A \u0627\u0644\u062C\u0631\u0648\u062D \u0627\u0644\u0633\u0643\u0631\u064A\u0629\u060C \u0645\u0627 \u064A\u0624\u062E\u0631 \u062A\u0634\u0643\u0644 \u0627\u0644\u0646\u0633\u064A\u062C \u0627\u0644\u062D\u0628\u064A\u0628\u064A \u0627\u0644\u0646\u0627\u0636\u062C\u060C \u0648\u0628\u0627\u0644\u062A\u0627\u0644\u064A \u062A\u0636\u0639\u0641 \u0645\u0642\u0627\u0648\u0645\u0629 \u0634\u062F \u0627\u0644\u062C\u0631\u062D. \u064A\u062C\u0628 \u0623\u0646 \u062A\u062A\u0636\u0645\u0646 \u0645\u0639\u0627\u0644\u062C\u0629 \u0642\u0631\u062D\u0629 \u0627\u0644\u0642\u062F\u0645 \u0627\u0644\u0633\u0643\u0631\u064A\u0629 \u0636\u0628\u0637 \u0633\u0643\u0631 \u0627\u0644\u062F\u0645 \u0648\u0625\u0632\u0627\u0644\u0629 \u0627\u0644\u0646\u0633\u064A\u062C \u0627\u0644\u0645\u062A\u0645\u0648\u062A \u0645\u0646 \u0627\u0644\u062C\u0631\u062D (\u0627\u0644\u0625\u0646\u0636\u0627\u0631) \u0648\u062A\u0636\u0645\u064A\u062F \u0627\u0644\u062C\u0631\u062D \u0648\u0625\u0632\u0627\u0644\u0629 \u0627\u0644\u0636\u063A\u0637 \u0639\u0646\u0647 \u0639\u0628\u0631 \u062A\u0642\u0646\u064A\u0627\u062A \u0645\u0639\u064A\u0646\u0629 \u0645\u062B\u0644 \u062C\u0628\u0627\u0626\u0631 \u0627\u0644\u062A\u0645\u0627\u0633 \u0627\u0644\u0643\u0627\u0645\u0644\u0629. \u0642\u062F \u062A\u062D\u0633\u0646 \u0627\u0644\u062C\u0631\u0627\u062D\u0629 \u0646\u062A\u0627\u0626\u062C \u0628\u0639\u0636 \u0627\u0644\u062D\u0627\u0644\u0627\u062A\u060C \u0648\u0642\u062F \u062A\u0641\u064A\u062F \u0627\u0644\u0645\u0639\u0627\u0644\u062C\u0629 \u0628\u0627\u0644\u0623\u0648\u0643\u0633\u062C\u064A\u0646 \u0639\u0627\u0644\u064A \u0627\u0644\u0636\u063A\u0637 \u0628\u0639\u0636 \u0627\u0644\u0645\u0631\u0636\u0649\u060C \u0644\u0643\u0646\u0647\u0627 \u0645\u0643\u0644\u0641\u0629. \u062A\u062D\u062F\u062B \u0627\u0644\u0642\u0631\u062D\u0629 \u0639\u0646\u062F 15% \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0633\u0643\u0631\u064A\u064A\u0646\u060C \u0648\u062A\u0633\u0628\u0642 84% \u0645\u0646 \u062C\u0645\u064A\u0639 \u062D\u0627\u0644\u0627\u062A \u0628\u062A\u0631 \u0627\u0644\u0637\u0631\u0641 \u0627\u0644\u0633\u0641\u0644\u064A \u0627\u0644\u0645\u062A\u0639\u0644\u0642\u0629 \u0628\u0627\u0644\u062F\u0627\u0621 \u0627\u0644\u0633\u0643\u0631\u064A."@ar . . . . . . "Diabetic foot ulcer is a major complication of diabetes mellitus, and probably the major component of the diabetic foot. Wound healing is an innate mechanism of action that works reliably most of the time. A key feature of wound healing is stepwise repair of lost extracellular matrix (ECM) that forms the largest component of the dermal skin layer. But in some cases, certain disorders or physiological insult disturbs the wound healing process. Diabetes mellitus is one such metabolic disorder that impedes the normal steps of the wound healing process. Many studies show a prolonged inflammatory phase in diabetic wounds, which causes a delay in the formation of mature granulation tissue and a parallel reduction in wound tensile strength."@en . . . . . . . "1120167029"^^ . . . . . . . . "460282"^^ . . . . . . . . . "Diabetic foot ulcer"@en . . . . . . . . . . . . . . . . . . . . . . . . "\u0642\u0631\u062D\u0629 \u0627\u0644\u0642\u062F\u0645 \u0627\u0644\u0633\u0643\u0631\u064A\u0629"@ar . . . . . . . . . . . . "Con ulcera diabetica si intende una lesione di continuo di difficile guarigione spontanea che pu\u00F2 interessare, in relazione alla sua importanza e gravit\u00E0, i tessuti cutanei, sottocutanei ed ossei. La sua localizzazione distrettuale pi\u00F9 comune \u00E8 nel piede coinvolgendo in senso disto-prossimale le regioni apicali delle dita, le giunture articolari delle interfalangee, le teste metatarsali (regione plantare), il tallone, le prominenze ossee del mortaio tibio-peroneo-astragalico (caviglia), e la gamba. Il coinvolgimento del piede \u00E8 molto pericoloso per il protrarsi della patologia in quanto spesso si presentano coinvolgimenti dei tessuti sottocutanei ed ossei con infezioni e fistole che possono far sviluppare necrosi settica e relativa amputazione della regione interessata, anche se la ricerca"@it . . . . . . "68189"^^ . . "Con ulcera diabetica si intende una lesione di continuo di difficile guarigione spontanea che pu\u00F2 interessare, in relazione alla sua importanza e gravit\u00E0, i tessuti cutanei, sottocutanei ed ossei. La sua localizzazione distrettuale pi\u00F9 comune \u00E8 nel piede coinvolgendo in senso disto-prossimale le regioni apicali delle dita, le giunture articolari delle interfalangee, le teste metatarsali (regione plantare), il tallone, le prominenze ossee del mortaio tibio-peroneo-astragalico (caviglia), e la gamba. Il coinvolgimento del piede \u00E8 molto pericoloso per il protrarsi della patologia in quanto spesso si presentano coinvolgimenti dei tessuti sottocutanei ed ossei con infezioni e fistole che possono far sviluppare necrosi settica e relativa amputazione della regione interessata, anche se la ricerca e la tecnologia consentono la realizzazione del trapianto dei tessuti."@it . . . . . . . . . . . . . . . . . "article"@en . . . . . "Fots\u00E5r"@sv . . . . "Fots\u00E5r \u00E4r s\u00E5r p\u00E5 f\u00F6tterna som framf\u00F6rallt drabbar personer med diabetes och med bristande och \u00E4r en vanlig orsak till amputation. Fotkomplikationer hos personer med diabetes utg\u00F6r ett allvarligt hot, s\u00E5v\u00E4l mot f\u00F6tter och ben som mot individens \u00F6verlevnad. Den s\u00E5 kallade \u201D\u201D inkluderar s\u00E5r, infektioner och f\u00F6rst\u00F6relse av djupare v\u00E4vnadslager associerade med neuropati och i benen. I v\u00E4stv\u00E4rlden \u00E4r fotkomplikationer den vanligaste orsaken till sjukhusvistelse vid diabetes."@sv . . "Diabetic foot ulcer"@en . . "Diabetic foot ulcer"@en . . "Fots\u00E5r \u00E4r s\u00E5r p\u00E5 f\u00F6tterna som framf\u00F6rallt drabbar personer med diabetes och med bristande och \u00E4r en vanlig orsak till amputation. Fotkomplikationer hos personer med diabetes utg\u00F6r ett allvarligt hot, s\u00E5v\u00E4l mot f\u00F6tter och ben som mot individens \u00F6verlevnad. Den s\u00E5 kallade \u201D\u201D inkluderar s\u00E5r, infektioner och f\u00F6rst\u00F6relse av djupare v\u00E4vnadslager associerade med neuropati och i benen. I v\u00E4stv\u00E4rlden \u00E4r fotkomplikationer den vanligaste orsaken till sjukhusvistelse vid diabetes."@sv . . . . . . . . . . "460282"@en . . . . . . . . . . . . "Neuropathic diabetic foot ulcer"@en . . . . . . "article"@en . . . . . . .