<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922020000100010</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922020000100010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mano diabética en el Hospital General de México "Dr. Eduardo Liceaga": experiencia en 42 casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Diabetic hand in Hospital General de México "Dr. Eduardo Liceaga": experience in 42 cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Correa]]></surname>
<given-names><![CDATA[Laura A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Zambrano]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solís Rojas]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Maya]]></surname>
<given-names><![CDATA[Montserrat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García García]]></surname>
<given-names><![CDATA[José A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Méxio Dr. Eduardo Liceaga Servicio de Cirugía Plástica Reconstructiva ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Departamento de Cirugía Plástica Reconstructiva ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Anahuac México Norte  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma de México Servicio Social ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Departamento de Investigación ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<numero>1</numero>
<fpage>65</fpage>
<lpage>72</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922020000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922020000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922020000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo El término mano diabética describe las infecciones de mano graves resultantes de trauma, mordedura humana o de perro y abuso de drogas, en pacientes que padecen diabetes mellitus. Las manifestaciones clínicas más frecuentes son celulitis, paroniquia, tenosinovitis, absceso profundo, artritis séptica y osteomielitis. Nuestra finalidad es presentar nuestra experiencia en la atención de pacientes con mano diabética, debido a que el retraso del diagnóstico de esta patología dificulta su tratamiento y predispone a mayores complicaciones.  Material y método Realizamos un estudio retrospectivo sobre los casos de mano diabética atendidos en el Servicio de Cirugía Plástica y Reconstructiva del Hospital General "Eduardo Liceaga" de la Ciudad de México (México) entre marzo de 2013 y marzo de 2018.  Resultados El intervalo de edad de los pacientes fue de 19 a 87 años, con un número total de 42 pacientes atendidos, 23 mujeres (55%) y 19 varones (45%). Veinticinco pacientes (60%) no referían antecedentes de cirugías previas en mano y 17 (40%) presentaban antecedentes quirúrgicos tales como: amputación supracondílea en 4 pacientes (10%), amputación infracondílea en 1 paciente (2%) y remodelación de dedos en el 7%. El diagnóstico más frecuente fue tenosinovitis infecciosa de 3erdedo. El patógeno más frecuentemente encontrando fue Enterobacter cloacae(14%). Al analizar los tipos de tratamiento quirúrgico utilizados, específicamente la amputación, hubo diferencias sobresalientes al realizar el contraste por género y valorar la presencia de obesidad en los pacientes. El 52% de las mujeres sufrió amputación frente al 21% de varones (p = .029 a través de X2de Pearson). El 43% de los pacientes con obesidad fueron amputados en comparación con el 36% que no la padecían (p = .061 a través de X2de Pearson).  Conclusiones En nuestra experiencia, se trata de una patología con una alta incidencia; sin embargo no contamos en general con literatura suficiente para determinar un diagnóstico oportuno y un tratamiento eficaz, al igual que tampoco disponemos de un algoritmo o clasificación que ayude al control y seguimiento de los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective . The term diabetic hand describes serious hand infections resulting from trauma, human or dog bite and drug abuse, in patients suffering from diabetes mellitus. The most frequent clinical manifestations are cellulitis, paronychia, tenosynovitis, deep abscess, septic arthritis and osteomyelitis. We present our experience in the care of patients with diabetic hand, as the delay of diagnosis makes the treatment difficult and predisposes to greater complications.  Methods A retrospective study was conducted on cases of diabetic hand in Plastic and Reconstructive Surgery Department at Hospital General "Dr. Eduardo Liceaga" in Mexico City (Mexico) from March 2013 to March 2018.  Results The age range of the patients was from 19 to 87 years, having a total number of 42 patients, 23 female (55%) and 19 male (45%). Twenty-five patients (60%) did not report a history of surgery, meanwhile 17 (40%) had a surgical history: supracondylar amputation was found in 4 patients (10%) and infracondylar amputation in 1 patient (2%); remodelation of the finger was equivalent to 7%. The most frequent diagnosis was infectious tenosynovitis of 3rdfinger. The pathogen most frequently found was Enterobacter cloacae(14%). When analyzing the types of surgical treatment used, specifically amputation, there were outstanding differences when contrasting by gender and the presence of obesity in the patients: 52% of the female gender were amputated against 21% of the male group (p = .029 through Pearson&#8217;s X2); 43% of patients with obesity were amputed compared to 36% who did not have it (p = .061 through Pearson&#8217;s X2).  Conclusions This pathology has a high incidence, however there is not enough literature to determine timely diagnosis and effective treatment, as there is yet no algorithm or some classification that helps the control and monitoring of patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mano]]></kwd>
<kwd lng="es"><![CDATA[Dedos]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones diabéticas]]></kwd>
<kwd lng="es"><![CDATA[Tenosinovitis]]></kwd>
<kwd lng="en"><![CDATA[Hand]]></kwd>
<kwd lng="en"><![CDATA[Fingers]]></kwd>
<kwd lng="en"><![CDATA[Diabetic complications]]></kwd>
<kwd lng="en"><![CDATA[Tenosynovitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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