@article {Ahmed1454, author = {Mohamed E. Ahmed and Shadad M. Mahmoud and Seifeldin I. Mahadi and Abubakr H. Widatalla and Mohamed A. Shawir and Mohamed E. Ahmed}, title = {Hand sepsis in patients with diabetes mellitus}, volume = {30}, number = {11}, pages = {1454--1458}, year = {2009}, publisher = {Saudi Medical Journal}, abstract = {OBJECTIVE: To report on the clinical presentation and possible risk factors leading to hand sepsis, amputation, management, and outcome in diabetic patients presenting to a multidisciplinary diabetic center in Khartoum, Sudan.METHODS: This is a retrospective descriptive study of all diabetic patients presenting with hand sepsis between September 2002 and March 2008 to Jabir Abueliz Diabetic Centre (JADC) in Khartoum, Sudan.RESULTS: A hundred and nineteen diabetic patients with hand sepsis were managed in JADC. The causative agent was unknown in 48.7\%, and due to trauma in 42.9\%. The most common presentation was cellulitis in 36.1\% of patients and deep seated abscess in 29.5\%. In 22.7\% there was significant sensory neuropathy with loss of perception to 10 gm monofilament nylon. An associated foot ulcer was present in 13.4\% of patients. One or more digits amputation was carried out in 17 (14.3\%) of patients and hand amputation was unavoidable in 2 (1.7\%). Complete healing with good function was achieved in 79\%. There was no mortality in this series.CONCLUSION: Hand sepsis in diabetics is a serious complication, but with early presentation to a specialized diabetic care facility, satisfactory outcome could be achieved.}, issn = {0379-5284}, URL = {https://smj.org.sa/content/30/11/1454}, eprint = {https://smj.org.sa/content/30/11/1454.full.pdf}, journal = {Saudi Medical Journal} }