[...]we sought to compare skin biochemical and structural deficits in subjects with and without specific diabetic foot complications. Nonetheless, such a linear relationship does exist in our cohort, and previous reports indicate a linear reduction in skin thickness and elasticity with age (24,25). [...]the subjects with DPN alone and those with foot complications were of similar age and, thus, this factor could not account for the differences observed. [...]increased PARP, reduced type 1 procollagen, and impaired skin structure are associated with the development of foot complications in diabetes and may constitute novel biomarkers to identify patients at maximal risk.
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