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Volume 366, Issue 9498, 1218 November 2005, Pages 17361743
Review
Wound better and its impairment in the diabetic foot
Prof Vincent Falanga, MDa, b,
a Departments of Dermatology and Biochemistry, capital of Massachusetts University, Boston, MA, USA
b Department of Dermatology and Skin Surgery, Roger Williams Medical Center, Elmhurst Building, 50 Maude Street, Providence, RI 02908, USA
addressable online 10 November 2005
http://dx.doi.org/10.1016/S0140-6736(05)67700-8, How to Cite or Link victimisation DOIPermissions & ReprintsReferred to byPeter R Cavanagh, Benjamin A Lipsky, Andrew W Bradbury, Georgeanne Botek
give-and-take for diabetic foot ulcers
The Lancet, Volume 366, Issue 9498, 1218 November 2005, Pages 1725-1735
PDF (555 K)

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Summary
Optimum improve of a cutaneous wound requires a well- score integration of the complex biological and molecular events of cell migration and proliferation, and of extracellular matrix deposition and remodelling. Cellular responses to inflammatory mediators, growth factors, and cytokines, and to mechanised forces, must be appropriate and precise.

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However, this orderly progression of the healing process is stricken in chronic wounds, including those due to diabetes. some(prenominal) pathogenic abnormalities, ranging from disease-specific intrinsic flaws in blood supply, angiogenesis, and matrix upset to extrinsic factors due to infection and continued trauma, contribute to calamity to heal. Yet, despite these obstacles, there is increasing cause for optimism in the handling of diabetic and other chronic wounds. Enhanced understanding and chastening of pathogenic factors, combined with stricter adherence to standards of care and with technological breakthroughs in biological agents, is giving new hope to the problem of impaired healing.

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