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Every toenail tells a story

Diabetes can do a lot of harm to your feet. The worst case scenario is severe nerve or tissue damage necessitating amputation. Early intervention is critical for avoiding this drastic measure, and researchers are looking at various ways in which this can be done. A brand new example of this kind of research comes courtesy of the foot docs at CLEAR - Scholl's Center for Lower Extremity Ambulatory Research at Rosalind Franklin University of Medicine and Science, which is located in Chicago. CLEAR researchers found that nearly three out of four diabetics who are at high risk for amputation have diseased toenails. The finding was announced recently at a conference for the American Academy of Dermatology, being held in Washington, DC.

Says co-author of the study, Stephanie Wu, the study helped confirm what many suspected but was previously unproven. "It appears," said Dr. Wu, "that if you have certain pre-existing risk factors for amputation coupled with a clinically diseased nail, chances are you have a significant fungal infection based on laboratory cultures." It is hoped that this knowledge can help prevent amputations by helping physicians identify those who are at risk more quickly than might have previously been the case.
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