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Selected Publication:
Zotter, H; Kerbl, R; Gallistl, S; Nitsche, H; Borkenstein, M.
Rewarming index of the lower leg assessed by infrared thermography in adolescents with type 1 diabetes mellitus.
J Pediatr Endocrinol Metab. 2003; 16(9):1257-1262
Doi: 10.1515/JPEM.2003.16.9.1257
Web of Science
PubMed
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- Leading authors Med Uni Graz
- Zotter Heinz
- Co-authors Med Uni Graz
- Borkenstein Helmuth Martin
- Gallistl Siegfried
- Jasser-Nitsche Hildegard
- Kerbl Reinhold
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- Abstract:
- The aim of this study was to determine whether infrared thermography before and after challenge of the lower leg in cold water may be a useful tool to detect abnormalities in skin blood flow in adolescent asymptomatic patients with type 1 diabetes mellitus (DM1) and to assess the optimal setting of skin temperature measurements. Twenty-five adolescents (10 female, 15 male, mean age 21.2 +/- 6.2 years, body mass index [BMI] 23.0 +/- 2.1 kg/m2) with a duration of DMI of 13.8 +/- 5.4 years and mean HbA1c levels 8.5 +/- 1.3% were compared to age- and sex-matched controls (BMI 22.9 +/- 2.2 kg/m2). Seven defined sites of the lower leg were assessed by infrared thermography before and for 10 min after exposure of the leg to 14 degrees C cold water. As skin temperature before exposure to cold water differs from individual to individual and basal temperature was significantly warmer in patients at the tip of the first (p < 0.05) and fifth (p < 0.05) toe, the rewarming index was calculated in order to compare data. Rewarming indexes of skin temperature during the whole measurement procedure (0-10 min) were significantly lower at the tip of the first (p < 0.05) and fifth (p < 0.01) toes and from minute 2-10 also at the inner ankle (p < 0.05) in patients compared to healthy controls. Rewarming indexes of the other four sites were not significantly different between patients and controls. Infrared thermography of the lower leg after cold water exposure is an easily applicable method and a useful tool to detect abnormalities of skin blood flow in adolescents with DM1 especially at the tips of the first and fifth toes and the inner ankle.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Ankle - blood supply
- Body Mass Index - blood supply
- Body Temperature Regulation - radiation effects
- Cold - adverse effects
- Diabetes Mellitus, Type 1 - metabolism
- Female - metabolism
- Hemoglobin A, Glycosylated - chemistry
- Humans - chemistry
- Hypothermia - diagnosis
- Immersion - diagnosis
- Infrared Rays - diagnostic use
- Leg - diagnostic use
- Male - diagnostic use
- Metatarsal Bones - blood supply
- Regional Blood Flow - radiation effects
- Rewarming - radiation effects
- Skin - blood supply
- Skin Temperature - physiology
- Thermography - methods
- Time Factors - methods
- Toes - blood supply
- Water - blood supply
- Find related publications in this database (Keywords)
- type 1 diabetes mellitus
- adolescents
- infrared thermography
- skin blood flow