Natural Honey in the Management of Thermal Burn of the Foot in a Type 2 Diabetic Patient: A Case Report
We report the case of a 58-year old male with type 2 diabetes who was admitted to
Um-Gwailinah Health Center with a second degree burn involving his big hallux, 4th and 5th toe
and the bases of 2nd, 3rd, 4th and 5th toe of the right foot.
The patient reported loss of sensation in his feet which he described as being numb.
He was diagnosed with type 2 diabetes thirty years ago and was suffering from hypertension,
hypercholesterolemia and obesity.
The patient divulged that he is a chronic heavy smoker with 40 cigarettes per day.
He was managed by oral hypoglycemic agents including Metformin 500 mg three
times daily, Gliclazide 120 mg once daily and 100 mg enteric coated aspirin.
His biochemical profile revealed HbA1c of 8.8% denoting uncontrolled glycaemia,
according to the International Diabetes Federation.
His lipid profile was normal except for a high LDL-C level, which showed a value of 3.5 m mol/L.
His liver function tests were normal but had chronic kidney disease;
however his Erythrocyte Sedimentation Rate and C-reactive protein were normal.
Upon palpation, pedal pulses were manually palpable but weakly felt, and this was
further consolidated by Doppler examination using a hand-held Doppler.
Dermatol Open J. 2016; 1(1): 14-18. doi: 10.17140/DRMTOJ-1-105
