Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report

Diabetic foot ulcers reduce patient’s quality of life and increase treatment costs, evaluating this condition is promising. We report the clinical progression of an elderly patient who developed a diabetic foot ulcer following minor trauma. She was treated for over 2 months until her condition progr...

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Main Authors: Víctor Manuel Loza-González, Mario Aurelio Martínez-Jiménez, Ana Lorena Novoa-Moreno, José Luis Ramírez-GarcíaLuna, Alejandra Ortiz-Dosal, Eleazar Samuel Kolosovas-Machuca
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1568144/full
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author Víctor Manuel Loza-González
Mario Aurelio Martínez-Jiménez
Ana Lorena Novoa-Moreno
José Luis Ramírez-GarcíaLuna
José Luis Ramírez-GarcíaLuna
Alejandra Ortiz-Dosal
Alejandra Ortiz-Dosal
Eleazar Samuel Kolosovas-Machuca
Eleazar Samuel Kolosovas-Machuca
author_facet Víctor Manuel Loza-González
Mario Aurelio Martínez-Jiménez
Ana Lorena Novoa-Moreno
José Luis Ramírez-GarcíaLuna
José Luis Ramírez-GarcíaLuna
Alejandra Ortiz-Dosal
Alejandra Ortiz-Dosal
Eleazar Samuel Kolosovas-Machuca
Eleazar Samuel Kolosovas-Machuca
author_sort Víctor Manuel Loza-González
collection DOAJ
description Diabetic foot ulcers reduce patient’s quality of life and increase treatment costs, evaluating this condition is promising. We report the clinical progression of an elderly patient who developed a diabetic foot ulcer following minor trauma. She was treated for over 2 months until her condition progressed to Grade 4 on the Wagner Classification of Diabetic Foot. A Serial infrared thermography was performed. The treatment plan included antibiotics and a polylactic acid membrane until complete ulcer remission. Thermographic imaging showed a quantitative reduction of the temperature differences between the affected and contralateral foot from an initial ΔT: −4.6°C ± 2.4, progressing to ΔT: −1.7°C ± 1.6 at 12 weeks, and a temperature reduction from the proximal third tibial area with ΔT: −1.7°C ± 0.6, with a change to ΔT 0.8°C ± 0.4 at 12 weeks near the metatarsal bone region. This article underscores the use of infrared thermography to give physicians feedback on ulcer healing progression phases and treatment effectiveness.
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institution Kabale University
issn 2296-858X
language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-9cd9f1f5423f46e7882ded690d5baf802025-08-20T03:50:05ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.15681441568144Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case reportVíctor Manuel Loza-González0Mario Aurelio Martínez-Jiménez1Ana Lorena Novoa-Moreno2José Luis Ramírez-GarcíaLuna3José Luis Ramírez-GarcíaLuna4Alejandra Ortiz-Dosal5Alejandra Ortiz-Dosal6Eleazar Samuel Kolosovas-Machuca7Eleazar Samuel Kolosovas-Machuca8Doctorado Institucional en Ingeniería y Ciencia de Materiales, Universidad Autónoma de San Luis Potosí, San Luis Potosí, MexicoBurn Unit, Hospital Regional de Alta Especialidad Dr. Ignacio Morones Prieto, San Luis Potosí, MexicoBurn Unit, Hospital Regional de Alta Especialidad Dr. Ignacio Morones Prieto, San Luis Potosí, MexicoDivision of Experimental Surgery, Faculty of Medicine, McGill University, Montreal, QC, CanadaFaculty of Sciences, Universidad Autónoma de San Luis Potosí, San Luis Potosí, MexicoFaculty of Sciences, Universidad Autónoma de San Luis Potosí, San Luis Potosí, MexicoInvestigadora por Mexico, Programa Cátedras, Secretaría de Ciencia, Humanidades, Tecnología e Innovación (SECIHTI), Ciudad de Mexico, MexicoFaculty of Sciences, Universidad Autónoma de San Luis Potosí, San Luis Potosí, MexicoCoordinación para la Innovación y Aplicación de la ciencia y Tecnología, Universidad Autónoma de San Luis Potosí, San Luis Potosí, MexicoDiabetic foot ulcers reduce patient’s quality of life and increase treatment costs, evaluating this condition is promising. We report the clinical progression of an elderly patient who developed a diabetic foot ulcer following minor trauma. She was treated for over 2 months until her condition progressed to Grade 4 on the Wagner Classification of Diabetic Foot. A Serial infrared thermography was performed. The treatment plan included antibiotics and a polylactic acid membrane until complete ulcer remission. Thermographic imaging showed a quantitative reduction of the temperature differences between the affected and contralateral foot from an initial ΔT: −4.6°C ± 2.4, progressing to ΔT: −1.7°C ± 1.6 at 12 weeks, and a temperature reduction from the proximal third tibial area with ΔT: −1.7°C ± 0.6, with a change to ΔT 0.8°C ± 0.4 at 12 weeks near the metatarsal bone region. This article underscores the use of infrared thermography to give physicians feedback on ulcer healing progression phases and treatment effectiveness.https://www.frontiersin.org/articles/10.3389/fmed.2025.1568144/fullinfrared thermographydiabetic footpolylactic acid membraneulcer healingdiabetes mellitus
spellingShingle Víctor Manuel Loza-González
Mario Aurelio Martínez-Jiménez
Ana Lorena Novoa-Moreno
José Luis Ramírez-GarcíaLuna
José Luis Ramírez-GarcíaLuna
Alejandra Ortiz-Dosal
Alejandra Ortiz-Dosal
Eleazar Samuel Kolosovas-Machuca
Eleazar Samuel Kolosovas-Machuca
Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report
Frontiers in Medicine
infrared thermography
diabetic foot
polylactic acid membrane
ulcer healing
diabetes mellitus
title Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report
title_full Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report
title_fullStr Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report
title_full_unstemmed Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report
title_short Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report
title_sort diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging a case report
topic infrared thermography
diabetic foot
polylactic acid membrane
ulcer healing
diabetes mellitus
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1568144/full
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