Mofid A, Yazdani T, Dulabi H, Seyyed Alinaghi S A, Zandieh S,
Volume 65, Issue 13 (Vol 65, Supplement 1 2008)
Abstract
Background: Diabetes mellitus is a common endocrine disorder with increasing
prevalence. Diabetic foot is a costly and serious chronic complication of diabetes mellitus
that if it does not controlled will cause severe morbidities in patients with diabetes
mellitus. Based on the study of center of management and prevention of diseases about
230 milliard Rials were expended for direct costs of diabetes annually and instruction of
patients about protection of foots in some countries, decrease rate of amputation between
44 to 85% and infact instruction of diabetic patients is the base of treatment and
prevention of complications of diabetes mellitus.
Methods: In a cross sectional study with attention to one of important causes of refer of
diabetic patients to hospitals diabetic ulcers of foots, we discuss about risk factors and
ways of treatment and prevention of them. The study done on patients admitted in
endocrinology unit of Imam Khomeini hospital. For analysis we used SPSS 11.5 program.
Although the costs for patients are calculated.
Results: In this study from 245 patients that admitted because of diabetic foot (63.26%
male and 36.73% female), 74 patients have done amputation. From these 74 patients
(30.2%), 65.67% were male and 24.32% were female. Age average was 58.24+12.29 years
And the mean duration of DM was 10.56+8.32 years and the past history of diabetic foot
was present in 45.95% of them. Past history of smoking was present in 66.21% of patients.
Conclusion: From 245 patients from 1996 to 2001 that admitted because of diabetic foot,
155 patients (63.26%) were male and 90 patients (36.73%) were female. From this numbers
the most of them were in 60-70 years old and the least were 20-30 years old. Gender of
most of them was male. For treatment of this complication a lot of costs were necessary
and instruction of patients decrease this complications.
Shajari H, Ashrafi M R, Ghanjizadeh F, Seyyed Ali Naghi S A, Zandieh S, Hosseini S M,
Volume 65, Issue 13 (Vol 65, Supplement 1 2008)
Abstract
Background: Mongolian spots are the most frequently encountered pigmented lesions in
newborns. The patches appear at birth or shortly there after, rarely later the MS in term
newborns in always present at birth. The shape of MS was commonly either irregular or
indefinite, with its borders gradually blending with the surrounding skin. The color most
frequently observed in all ethnic groups was blue- green. For the Negro population the
color was commonly greenish– blue the next most common color in the total population
was blue- gray. Brown coloration in the form of brown specks on a back ground of blue
was present in ten percent Negro Newborns. The most common location is the sacragluteal
region, which frequently is the only part affected. MS occasionally are found in
the extremities in those cases with extensive involvement, particularly in the shoulders.
The presence of MS in the head or neck has been called aberrant Mongolian spot. The
macula has been variously described as irregularly round, oval, roughly triangular, heart
shaped, resembling a tennis racket, and angular. The size may vary from a dot of a few
millimeters to six or more centimeters in diameter the mark of ten disappears during the
first or second year of life. Those marks distant from the sacral region are said to be more
apt to persist than the typical sacral one and the buttocks was the site of predilection. Its
incidence varies from over 80% in Asians (Mongolian and Chinese) to 10% of white
infants. Only a limited number of studies were carried out in Iran. Our objective was to
study Mongolian spots incidence and common locations in newborns at Shariati hospital.
Methods: During 2004-06, 2305 consecutive newborns were examined at Shariati hospital.
Diagnosis of Mongolian spot was based on clinical impression with Pediatricians.
Results: Mongolian spot was observed in 11.4% neonates. The most frequent site of
involvement is the sacral, followed by the gluteal area. Mongolian spot did not show a
significant relationship to sex, gestational age, mother’s age groups and delivery type
(p>0.05) but the relationship between Mongolian spot and birth weight groups was
significant (p<0.05).
Conclusion: Incidence of mongolian spots in our patients was simila
