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Pedal manifestations of Milroy's disease
Journal of the American Podiatric Medical Association
|August 1, 1996
Abstract:
A pedal complication of Milroy's disease has been presented. With a history of multiple debridement procedures as in this case, there is the risk of recurrent infections and the possibility of permanent vascular compromise, particularly with respect to the thin pedal skin on the dorsal aspect. When the toes are recurrently involved with infection, a patient may be best served with a transmetatarsal amputation using a skin flap on the plantar aspect.
Insights
Milroy's disease can lead to serious pedal complications, including recurrent infections and vascular damage. Transmetatarsal amputation with a plantar skin flap may be the best option for severe toe infections.
Area of Science:
- Vascular Medicine
- Podiatric Surgery
- Genetics
Background:
- Milroy's disease is a rare genetic disorder causing lymphedema.
- Pedal complications, such as infections and vascular compromise, can arise from chronic lymphedema.
- Previous debridement procedures increase the risk of recurrent infections and impaired vascularity.