Bullous Disease of Diabetes Treatment & Management
- Author: Maureen B Poh-Fitzpatrick, MD; Chief Editor: Dirk M Elston, MD more...
Specific treatment of bullous disease of diabetes (bullosis diabeticorum) is unnecessary because the condition is self-limiting. The blister should be left intact whenever possible to serve as a sterile dressing and to avoid secondary infection.
Drug therapy (ie, antibiotics) is only warranted when secondary staphylococcal infection is present.
To see complete information on Diabetic Ulcers, please go to the main article by clicking here .
Helpful guidelines from the American Diabetes Association related to the management of diabetes are as follows:
To see complete information on Diabetes Mellitus, Type 1, please go to the main article by clicking here.
To see complete information on Diabetes Mellitus, Type 2, please go to the main article by clicking here.
Aspiration and Debridement
Aspiration of fluid from bullous disease of diabetes lesions with sterile technique using a small-bore needle may prevent accidental rupture. Immobilization may prevent damage to the blister. Secondary tissue necrosis may necessitate debridement and possible tissue grafting.
Aggressive wound healing intervention, as enacted with diabetic ulcers, is critical, should the blister become unroofed.
To see complete information on Diabetic Foot, please go to the main article by clicking here.
To see complete information on Diabetic Foot Infections, please go to the main article by clicking here.
Long Term Monitoring
Patients with confirmed bullous disease of diabetes should be monitored for development of secondary infection until lesions heal entirely.
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