Case of left toe gangrene

Abstract

Diabetes-Related Complications Affect Many Organ Systems and Are Responsible For The Majority Of Morbidity And Mortality Associated With The Disease. The Vascular Complications of DM Are Subdivided Into Micro Vascular (Retinopathy, Neuropathy, Nephropathy) And Macro Vascular Complications (Coronary Heart Disease [CHD], Peripheral Arterial Disease [PAD], Cerebrovascular Disease). Autonomic Neuropathy Results in Anhidrosis and Altered Superficial Blood Flow in The Foot, Which Promote Drying of The Skin And Fissure Formation. PAD And Poor Wound Healing Impede Resolution of Minor Breaks In The Skin, Allowing Them To Enlarge And To Become Infected. Here In This Case Recurrent Diabetes Non-Healing Ulcer With Other Associated Complaints Witnessed Recovery With Deeper Understanding Of Silica As A Constitutional Remedy.