title: [Descriptive study of diabetic foot at the Marc Sankale Diabetes Center. Report of 105 cases].
abstract: BACKGROUND
  Diabetic foot is a major complication of diabetes due to its frequency and its high risk of evolution to amputation. We report 105 cases recruited at the diabetes centre Marc Sankale.
  
  
  METHODS
  It's a prospective study including all diabetic patients who attended the diabetes centre for any foot lesion during a one year period. Besides clinical examination data, results of glycaemia, foot X-ray Doppler and bacteriological analysis of the pus were collected.
  
  
  RESULTS
  foot lesion represented 2.8% of diabetologist causes of consultation. Mean age of occurrence was 55 +/- 14 years in 63% women and 37% men. Diabetes was type 2 in 90% cases, poorly controlled in 63.92 % cases. Foot lesion was dominated by infection (97%), isolated or associated to peripheral vascular disease (32.4%) or neuropathy (13.3%). 67 patients had medical treatment and healed their wounds in 3 months in 76% cases. 38 other cases needed surgery : major amputation (15%), minor amputation (13%) debridment (9%) and revascularization (1%).
  
  
  CONCLUSIONS
  Diabetic foot is a frequent reason for consultation at the National diabetes centre. Despite all the improvements made after the implementation of the patient's educational program, treatment starts late because of economical and cultural reasons that increase morbidity.
authors.affiliation: Clinique Médicale II, Centre Hospitalier Abass Ndao, CHU Dakar. mbayester@gmail.com
authors.forename: N M
authors.initials: NM
authors.lastname: Ndour Mbaye
authors.forename: A
authors.initials: A
authors.lastname: Sarr
authors.forename: S N
authors.initials: SN
authors.lastname: Diop
authors.forename: D
authors.initials: D
authors.lastname: Diedhiou
authors.forename: M
authors.initials: M
authors.lastname: Ka
authors.forename: A Y
authors.initials: AY
authors.lastname: Camara
authors.forename: E H
authors.initials: EH
authors.lastname: Sidibe
authors.forename: A M
authors.initials: AM
authors.lastname: Sowa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017719:Diabetic Foot / Q000453:epidemiology* / Q000628:therapy; D003929:Diabetic Neuropathies / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012675:Senegal / Q000453:epidemiology; D055815:Young Adult