Diabetes Mellitus, Type 2

Homeless diabetic man with painful foot showing gangrene and dystrophic nails

<bold>Fig CA 18-1 Essential (idiopathic) hypertension.</bold> (A) Frontal and (B) lateral views of the chest demonstrate characteristic tortuosity of the aorta (arrows), especially the ascending portion. Because the elevated blood pressure has caused left ventricular hypertrophy without dilatation, the radiographic appearance of the cardiac silhouette remains normal.

<bold>Fig CA 18-1 Essential (idiopathic) hypertension.</bold> (A) Frontal and (B) lateral views of the chest demonstrate characteristic tortuosity of the aorta (arrows), especially the ascending portion. Because the elevated blood pressure has caused left ventricular hypertrophy without dilatation, the radiographic appearance of the cardiac silhouette remains normal.

<bold><italic>Figure 14.60.</bold></bold> Pretibial diabetic skin changes: necrobiosis lipoidica diabeticorum.

FIG. 11 Diabetic patient with acute spontaneous onset of low back pain and fever. <bold>A,B:</bold> Dramatic elements of two-level spondylodiscitis, L3-5, with secondary communicating psoas abscess component.

<bold>Figure 11.93. Neuropathic (Charcot) joints in two diabetic patients. A.</bold> Radiographs of both feet show bilateral neuropathic joints at the first metatarsophalangeal joints (<italic>arrows</bold>). On the left there is periarticular osteopenia, indicating superimposed infection. Frontal <bold>(B)</bold> and lateral <bold>(C)</bold> knee radiographs of another patient show disintegration of the knee joint with considerable bony debris (" bag of bones") and a large joint effusion. In the past, involvement o...

Necrobiosis lipoidica diabeticorum. Atrophic patch present x 6 mo.