Diabetic foot ulcers and ethnicity in Tanzania: a contrast between African and Asian populations

ABSTRACT To characterise the role of ethnicity in the occurrence of foot ulcer disease in persons with diabetes, we analysed prospectively collected data for persons attending the diabetes clinic at Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania. A case was defined as any adult presentin...

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Bibliographic Details
Published in:International wound journal 2009-04, Vol.6 (2), p.124-131
Main Authors: Abbas, Zulfiqarali G., Lutale, Janet K., Archibald, Lennox K.
Format: Article
Language:English
Subjects:
African Continental Ancestry Group
Asian Continental Ancestry Group
Diabetic Foot - complications
Diabetic Foot - ethnology
Diabetic Neuropathies - complications
Diabetic Neuropathies - ethnology
Ethnicity
Female
Foot ulcers
Humans
Male
Middle Aged
Original
Outcomes
Peripheral neuropathy
Peripheral vascular disease
Prevalence
Sub-Saharan Africa
Tanzania
Tanzania - epidemiology
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Summary:ABSTRACT To characterise the role of ethnicity in the occurrence of foot ulcer disease in persons with diabetes, we analysed prospectively collected data for persons attending the diabetes clinic at Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania. A case was defined as any adult presenting to MNH with an ulcer at or below the ankle joint during July 1998–June 2005. We documented clinical and epidemiologic characteristics, progress, interventions and outcome. Seven hundred and eight persons met the case definition – 570 (80%) ethnic Africans and 138 (20%) Asian Indians. Ethnic Africans were more likely to present with gangrene (P 
ISSN:1742-4801
1742-481X
DOI:10.1111/j.1742-481X.2008.00578.x