scholarly journals Frequency and types of skin disorders and associated diabetes mellitus in elderly Jordanians

2021 ◽  
Vol 8 (4-5) ◽  
pp. 574-578
Author(s):  
F. Najdawi ◽  
M. Fa'ouri

A retrospective study of 232 elderly patients seen between August 1998 and April 2000 at the skin clinic in Princess Haya hospital, Aqaba, was undertaken to determine the prevalence of skin disorders, and those most commonly associated with diabetes mellitus, in the elderly. Eczema/dermatitis was the commonest skin disorder seen [25.9% of cases], followed by pruritus without skin lesions [15.1%], viral infection [14.7%, most commonly herpes zoster], fungal infection [13.8%], and bacterial infection [10.3%]. Bacterial infection was the commonest skin disorder in patients with diabetes mellitus [62.5%], followed by fungal infection [50.0%]. Skin diseases cause considerable morbidity in elderly people; health promotion and education can do much to reduce the risks of these disorders in the elderly, especially those with diabetes

2012 ◽  
Vol 1 (2) ◽  
pp. 73-75 ◽  
Author(s):  
Prashant Khatiwada ◽  
Aditi Giri ◽  
Prasana Khatiwoda

Mucormycosis is an opportunistic fulminant fungal infection, which mainly infects immunocompromised patients. Infection with mucormycosis can cause devastating rhino-orbital-cerebral and pulmonary infection with an extremely poor prognosis. The infection begins in the nose and paranasal sinuses due to inhalation of fungal spores. We report a case of mucormycosis in an uncontrolled diabetic patient to emphasize early diagnosis of this potentially fatal fungal infection. Rhino-orbitalcerebral mucormycosis is the most common manifestation in patients with diabetes mellitus. We also review the current concepts in management of mucormycosis. Mucormycosis remains difficult to treat and requires a multifaceted approach involving elimination of predisposing factors, surgical debridement, and anti-fungal therapy. Lipid formulations of Amphotericin B are the treatments of choice. DOI: http://dx.doi.org/10.3126/jaim.v1i2.6531 Journal of Advances in Internal Medicine 2012;01(02):73-75


2020 ◽  
Vol 49 (2) ◽  
Author(s):  
Enisa Karić ◽  
Zumreta Kušljugić ◽  
Enisa Ramić ◽  
Olivera Batić- Mujanović ◽  
Amila Bajraktarević ◽  
...  

Introduction:The study evaluated of microalbuminuria as a predictor of heart failure in patients with diabetes mellitus type 2.Materials and methods:The prospective study conducted in a period of time from 01-Feb-2007 to 01-Feb-2010.The study included 100 patients with type 2 diabetes, who had diabetes longer than 5 years. All subjects (average age 66 ± 10 years, 33% male, 67% female) were tested for the presence of microalbuminuria, and 50 patients had microalbuminuria. The second group comprised 50 patients without of microalbuminuria with diabetes mellitus type 2.Results:In the patients with microalbuminuria and diabetes mellitus were found 22% of heart failure and 6% in the second group. Average time to the occurance of heart failure in the first group was 32,5 months, in the second group was 35,3 months.Conclusions:The results show that microalbuminuria is an independent risk factor for heart failure in patients with diabetes mellitus type 2 and microalbuminuria. Patients without microalbuminuria had 3,7 less likely to development heart failure compared to patients with microalbuminuria and diabetes mellitus.


2019 ◽  
Vol 31 (1) ◽  
pp. 21-28
Author(s):  
Mahfuza Akhter ◽  
Ishrat Bhuiyan ◽  
Zubaida Akter ◽  
Homayra Tahseen Hossain ◽  
Syed Ghulam Mogni Mowla

Background: Diabetes mellitus (DM) continues to be a major public health problem. Multiple factors have a role in the skin manifestations of DM. Cutaneous manifestations of DM are very important to the clinician. Methods: Current study was carried out in the Department of Dermatology and Venereology, Shaheed Suhrawrdy Medical College Hospital, Dhaka, spanning from 1st January 2017 till 30th June 2017 over a period of six months. Adult patients already diagnosed to be suffering from type 2 DM presenting with cutaneous manifestations were included in the study. Results: Majority (68.0%) patients had diabetes >5 years, 16.7% had < 1 year and 15.3% had 1-5 years. Family history of DM was found in 70.7% in this study. In this study bacterial infection and fungal infection were more common in female patients (60.0% vs 62.0% respectively). Regarding types of dermatoses, fungal infection was more common in this study 50(33.3%). Others were bacterial infection 20(13.3%), viral infection 7(4.7%) and parasitic infection 7(4.7%). Papulo squamous disease was found 31(20.7%) patients, other diseases were 32(21.3%).Viral infection was more in male patients (71.4%). Parasitic infection was high in female patients 6(85.7%). Papulo squamous diseases was found 21(67.7%) in female patients. Conclusion: In this study fungal infection, bacterial infection, viral infection and parasitic infections were found to be the more common cutaneous dermatoses among adult diabetic patients. Bacterial infection and fungal infection were more common in female patients. TAJ 2018; 31(1): 21-28


2019 ◽  
Vol 13 ◽  
Author(s):  
Fabiana Angelo Ferreira ◽  
Mirelly Kerflem Da Silva Santos ◽  
Kaisy Pereira Martins ◽  
Maria Carolina Salustino dos Santos ◽  
Wianey Gonçalves de Souza Lins ◽  
...  

Objetivo: analisar as orientações dos enfermeiros da Unidades de Saúde da Família aos idosos com Diabetes Mellitus na prevenção de lesões na pele. Método: trata-se de um estudo qualitativo, descritivo, exploratório, com sete enfermeiros, por meio de uma entrevista, utilizando um instrumento semiestruturado, e para a análise, empregou-se a técnica de Análise de Conteúdo na modalidade Análise Categorial. Resultados: evidenciou-se que existem déficits quanto ao método de avaliação e orientação aos cuidados de lesão na pele durante as consultas de Enfermagem como, também, estratégias de envolvimento do familiar na participação desse cuidado na descrição das categorias. Conclusão: entende-se que o enfermeiro precisa ter um bom conhecimento teórico-prático para que, junto com a família e a equipe multiprofissional, venha promover o cuidado que é devido a esses pacientes, intervindo positivamente e diminuindo o risco de desenvolvimento de lesões e problemas na pele. Descritores: Enfermagem; Saúde do Idoso; Diabetes Mellitus; Pele; Atenção Primária à Saúde; Orientação. ABSTRACT Objective: to analyze the guidelines of the Nurses of the Family Health Units to the elderly with Diabetes Mellitus in the prevention of skin lesions. Method: it is a qualitative, descriptive, exploratory study with seven nurses, through an interview, using a semi-structured instrument, and for the analysis, the technique of Content Analysis was used in the category Categorical Analysis. Results: it was evidenced that there are deficits regarding the method of evaluation and orientation to the care of skin lesions during Nursing consultations as well as strategies of involvement of the family in the participation of this care in the description of the categories. Conclusion: it is understood that the nurse needs to have a good theoretical-practical knowledge so that, together with the family and the multiprofessional team, it can promote the care that is due to these patients, intervening positively and reducing the risk of developing lesions and skin problems. Descriptors: Nursing; Health of the Elderly; Diabetes Mellitus; Skin; Primary Health Care; Guidance. RESUMEN Objetivo: analizar las orientaciones de los enfermeros de las Unidades de Salud de la Familia para ancianos con Diabetes Mellitus en la prevención de lesiones cutáneas. Método: se trata de un estudio cualitativo, descriptivo, exploratorio con siete enfermeros, a través de una entrevista, utilizando un instrumento semiestructurado y, para el análisis, se utilizó la técnica de Análisis de Contenido en la modalidad de Análisis categórico. Resultados: se evidenció que existen deficiencias en cuanto al método de evaluación y orientación a los cuidados de lesiones cutáneas durante las consultas de enfermería, así como a las estrategias de involucración de la familia en la participación de este cuidado en la descripción de las categorías. Conclusión: se entiende que el enfermero necesita tener un buen conocimiento teórico y práctico de modo que, junto con la familia y el equipo multiprofesinal, venga promover el cuidado que se debe a estos pacientes, interviniendo positivamente y disminuyendo el riesgo de desarrollo de lesiones y problemas en la piel. Descriptores: Enfermería; Salud del Anciano; Diabetes Mellitus; Piel; Atención Primaria de Salud; Dirección.


2004 ◽  
Vol 50 (5) ◽  
pp. 39-44
Author(s):  
A. V. Dreval' ◽  
V. A. Gubkina ◽  
T. S. Kamynina ◽  
V. A. Loseva ◽  
E. V. Mel'nikova ◽  
...  

Mucoromycosis is an aggressive fungal infection, the so-called phytomycosis is a general term for the spectrum of diseases caused by Mucorales class fungi [2]. Mucoromycosis is rare in Northern Europe (occasionally imported from the countries of the Mediterranean or America), which often leads to fatal diagnostic errors. In the last decade, cases of mucoromycosis have been reported in the Moscow region; our experience in treating this disease may prove useful to endocrinologists.


2015 ◽  
Vol 54 (4) ◽  
pp. 475 ◽  
Author(s):  
Bum-Sung Choi ◽  
Sewoong Kim ◽  
Seon-Cheol Park ◽  
Se-Hoon Shim ◽  
Hoo Rim Song ◽  
...  

Pharmateca ◽  
2020 ◽  
Vol 12_2020 ◽  
pp. 20-25
Author(s):  
E.V. Svechnikova Svechnikova ◽  
S.G. Lykova Lykova ◽  
O.B. Nemchaninova Nemchaninova ◽  
M.A. Morzhanaeva Morzhanaeva ◽  
◽  
...  

Author(s):  
مريم باراس ◽  
Eidha A. Bin Hameed

Background: Diabetes is on the rise worldwide and is already considered as an epidemic by some experts. So, there is a need to raise awareness on the important factors that can help prevent bacterial infection in wounds of patients with diabetes. Objective: To study the risk factors of developing diabetic foot ulcer (DFU) in patients with diabetes. The study is the first in Yemen to investigate the prevalence of bacterial infection in wounds of diabetic patients. Materials and Methods: This is a case-control study carried out from November 2018 to May 2019. Twenty diabetic patients with foot ulcer and twenty without foot ulcer were examined. Risk factors and clinical profile of patients were studied by using a standardized questionnaire that included gender, age groups, past history of diabetes, duration of the disease, type of diabetes, DFU, type of ulcer, smoking, glucose level, and control of blood glucose level. Results: The risk factors that affected significantly the occurrence of DFU were gender (0.038), age groups (0.010), and duration of diabetes mellitus (DM) while hyperglycemic control, smoking, and family history were not. There was no significant difference (0.977) in mean fasting blood glucose (MBG) between the DM and DFU patients. Conclusions: Male diabetic patients aged more than 55 years and suffering from DM for more than 10 years were most likely to have DFU. Key words: diabetic foot ulcer, diabetes mellitus, risk factors, Yemen 


2020 ◽  
Vol 12 (2) ◽  
pp. 47-53
Author(s):  
Miloš Nišavić ◽  
Marina Jovanović ◽  
Zoran Golušin ◽  
Nada Vučković ◽  
Ljuba Vujanović ◽  
...  

AbstractCurrently, most authors believe that disseminated superficial actinic porokeratosis (DSAP) is an inherited or acquired dermatologic disorder of keratinization that occurs in genetically predisposed individuals after adequate exposure to ultraviolet (UV) rays, or immunosuppression. Lesions in DSAP start in sun-exposed areas most commonly in the third or fourth decade of life. The lesions are pink to brownish papules and plaques with a raised scaling ridge, histologically seen as a column of parakeratotic keratinocytes, the cornoid lamella. DSAP is not only the most common, but also the most often overlooked form of porokeratosis (P). Here we present a 77-year-old male with DSAP, who sporadically developed initial skin lesions at the age of 67, at the time when his personal and medical history were significantly long for chronic intensive sun exposure and type 1 insulin dependent diabetes mellitus. We established the diagnosis of DSAP based on personal and medical history, clinical presentation, auxiliary methods such as dermoscopy, and confirmed with pathohistological findings. We advised the patient to avoid sun exposure and to apply photo-protective sunscreens, emollients and keratolytics. After five years of monitoring his changes, we continue to control his lesions for any possible alteration. Although mutations in several genes and data on sun exposure may be responsible for the onset of the disease, most cases of DSPA occur sporadically and without involving the facial skin, as in our case. Lesions usually begin in the third or fourth decade of life. In the elderly, an additional trigger may be present, such as e.g. age-related decreased immune competence. Diabetes mellitus may also be associated with immunodeficiency in the elderly. Recently, DSPA has been a special subtype of DSPA in the elderly. Malignant alteration can occur in DSPA, most commonly in lesions that are long lasting, large, in the elderly, or in lesions in immunocompromised individuals. In conclusion, this is the case of a 77-year-old male person, who sporadically developed the so-called subtype DSPA in the elderly. In addition to UV radiation, the relevant suggestive trigger factors were the immunosuppressive effects of diabetes mellitus and chronological aging.


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