Elective surgery for Hyperhidrosis: June 2013

Autosympathectomy with attendant sympathetic failure, arteriovenous
shunting, and microvascular thermoregulatory dysfunction impairs normal
tissue perfusion and microvascular responses to injury. These
alterations can
subsequently be implicated in the pathogenesis of ulceration (63-67).

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64. Parkhouse N, Le Quesne PM. Impaired neurogenic vascular response
in patients with diabetes and neuropathic foot lesions. N Engl J Med
318:1306-1309, 1988.
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and measurements of neuropathy. Wounds 12(Suppl B):12B-18B,
2000.
66. Boulton AJ. The pathogenesis of diabetic foot problems: an overview.
Diabet Med 13(Suppl 1):S12-16, 1996.
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Diabetologia 45:1164-1171, 2002.

SEPTEMBER/OCTOBER 2006
VOLUME 45, NUMBER 5
DIABETIC
FOOT
DISORDERS
A CLINICAL
PRACTICE GUIDELINE
An official publication of the
American College of
Foot and Ankle Surgeons

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