title: Diabetes mellitus and localizations of obliterating arterial disease of the lower limbs.
abstract: Thirty patients with intermittent claudication (IC) and treated diabetes mellitus and 30 age- and gender-matched nondiabetic claudicants underwent a vascular examination by noninvasive ultrasound methods (continuous-wave Doppler, duplex scanner). The ankle/arm systolic pressure index did not differ in the two groups. Diabetic patients with IC had more (p less than .001) non-flow-reducing stenoses (lumen reduction less than 50%) and fewer (p less than .002) flow-reducing obstructions (lumen reduction greater than 50%) of the iliac arteries than nondiabetics had. These data are consistent with a preferentially distal (below the inguinal ligament) localization of arterial stenoses in diabetic patients, whereas iliac artery diseases are relatively more severe in nondiabetics.
authors.affiliation: Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Rubba
authors.forename: G
authors.initials: G
authors.lastname: Leccia
authors.forename: F
authors.initials: F
authors.lastname: Faccenda
authors.forename: B
authors.initials: B
authors.lastname: De Simone
authors.forename: L
authors.initials: L
authors.lastname: Carbone
authors.forename: P
authors.initials: P
authors.lastname: Pauciullo
authors.forename: O
authors.initials: O
authors.lastname: Vaccaro
authors.forename: M
authors.initials: M
authors.lastname: Mancini
mesh_terms: D000842:Ankle / Q000098:blood supply; D001132:Arm / Q000098:blood supply; D001162:Arteriosclerosis Obliterans / Q000000981:diagnostic imaging*; D001794:Blood Pressure; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003925:Diabetic Angiopathies / Q000000981:diagnostic imaging*; D006801:Humans; D007383:Intermittent Claudication / Q000000981:diagnostic imaging*; D008875:Middle Aged; D012307:Risk Factors; D014463:Ultrasonography