I am a nurse. One of my clients has altzheimers disease (and has had for many years ). Her memory is severely impaired, and her speech indecipherable. She started to limp early morning. By evening meal time, she had developed bruising to her toes There was no history of injury . By the next morning, she had developed a large blister to the base of the great toe. X ray shows a fracture of the phalange of the great toe. Would I be correct in thinking that this is bullous diabeticorum? Also,would it be possible that the fracture could be pathological.
Many thanks
Mon, 29 Sep 2014
Pathologist and Microbiologist, Dr. Jyothi B L's Response
Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Yes it appears to be secondary to bullous diabeticorum 2. Fracture appears to be secondary to infected bone and yes, it is pathological 3. Regular control of sugar is essential. There would be history of injury with secondary diabetes mellitus being the possible pathology. Hope it helps. Any further queries, happy to help again.
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Could Fracture Be Pathological?
Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Yes it appears to be secondary to bullous diabeticorum 2. Fracture appears to be secondary to infected bone and yes, it is pathological 3. Regular control of sugar is essential. There would be history of injury with secondary diabetes mellitus being the possible pathology. Hope it helps. Any further queries, happy to help again.