Deterioration of diabetic foot lesions under hydrocolloid dressings

Eight cases are reported of diabetic foot lesions which deteriorated after application of hydrocolloid dressings. The dangers of applying such dressings in the circumstances outlined outweigh the practical and financial arguments for their use. The authors conclude that hydrocolloid dressings should never be used on deep, infected or discharging wounds on the diabetic foot or in circumstances that preclude frequent dressing changes and wound inspection.