Utility of gunpowder in management of diabetic foot ulcer: A case report

Abstract

Diabetic foot ulcer is a major complication of diabetes mellitus. Innate mechanism of action occurs in wound healing, which is a stepwise repair of lost extracellular matrix that forms the largest component of the dermal skin layer but in certain cases or disorders, the wound healing process is interrupted. Diabetes mellitus is one such metabolic disorder that interrupts the normal wound healing and causes a delay in the formation of mature granulation tissue. In this study gunpowder is used to achieve wound healing process in diabetic foot ulcer. Gunpowder which is also mentioned as a war remedy can be used to achieve healing even in gangrenous stage. And the treatment outcome was assessed with Meggitt wagner classification of diabetic foot ulcer.