A case of amputation of the fourth toe is described in a diabetic patient. The patient had overlapping of third and fourth toes since her childhood and later she developed soft lipomas over the fourth toe and lateral aspect of the dorsum of the foot. The lipomas were excised without relief of pain. Subsequently, the fourth toe was disarticulated with relief of pain and healing of ulcers. The role of prophylactic amputations in such cases is described.

Ibrahim Med. Coll. J. 2010; 4(2): 87-89

Key words: Diabetes, amputation, ulcer.

Address for Correspondence:Dr Faria Afsana, Preventive Foot Care Unit, BIRDEM, 122 Kazi Nazrul Islam Avenue, Dhaka, Bangladesh. e-mail: [email protected]