Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated?

Simon Otter, S. Kumar, P. Gow, N. Dalbeth, K. Davies, S. Panthakalam, K. Rome

    Research output: Chapter in Book/Conference proceeding with ISSN or ISBNConference contribution with ISSN or ISBNpeer-review


    Foot pathology is common in inflammatory arthritis and
    the role of the podiatrist in the multidisciplinary care
    team is well established. However, in systemic lupus
    erythematosus; (SLE) the need for foot health services
    and service provision for foot disease is unknown. We
    set out to determine the perceived need and uptake of
    foot care services.
    A 40-item self-administered postal questionnaire was
    posted to patients with SLE attending adult rheumatology
    clinics at Auckland and Counties Manukau District Health
    Boards, Auckland, New Zealand. The questionnaire
    enquired about the occurrence of foot symptoms and their
    frequency of assessment, the availability of podiatric
    services and the usefulness of interventions.
    In total, 107 patients responded with 79% reporting foot
    pain caused by their SLE. Half (51%) of the patients had
    discussed foot pain with their general practitioner or rheumatologist,
    and a third (33%) had difficulty with basic foot
    care. Respondents reported there was no significant difference
    in the frequency with which their hands and feet
    were examined. However, only 33% had been seen by a
    podiatrist. Insoles had only been prescribed to a quarter of
    respondents (25%) but only half of those receiving insoles
    were continuing to wear them and merely two respondents
    indicated their foot symptoms had been resolved by
    their insoles. None of the subjects reported that they had
    been provided with specialist footwear.
    These data suggest that foot problems are common and
    under-reported in patients with SLE. Health care professionals
    need to consider a comprehensive foot care plan
    as part of the holistic management of people with SLE.
    Original languageEnglish
    Title of host publicationAustralasian Podiatry Conference 2015
    PublisherBioMed Central
    Number of pages1
    Publication statusPublished - 22 Sept 2015
    EventAustralasian Podiatry Conference 2015 - , Australia
    Duration: 6 May 20158 May 2015

    Publication series

    NameJournal of Foot and Ankle Research
    PublisherBioMed Central
    ISSN (Electronic)1757-1146


    ConferenceAustralasian Podiatry Conference 2015


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