The main effect of autonomic neuropathy on the feet can be loss of sweating, resulting in dry inelastic skin less capable of resisting shearing and pressure. The skin may then become split and cracked particularly around the heels resulting in a portal for infection.
The classic signs of autonomic neuropathy are:
- Dry, split skin
- Distended veins over the top of the foot and ankle
- Bounding pulses
