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J R Soc Med 1983;76:1011-1014
© 1983 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 76, Issue 12 1011-1014, Copyright © 1983 by Royal Society of Medicine

ORIGINAL ARTICLES

Venous distension in the diabetic neuropathic foot (physical sign of arteriovenous shunting)

JD Ward, AJ Boulton, JM Simms, DA Sandler and G Knight

A new physical sign is described in the feet of a group of diabetic patients with ulcerating neuropathic problems, in which major venous distension of the veins on the dorsum of the foot and lower calf is seen. Elevation of the leg is required to an average height of 32.3 cm to cause collapse of these distended veins. It is suggested that this clinical sign indicates the presence of arteriovenous shunting in such neuropathic legs, and as such is a simple and useful measure of this abnormality.
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