Manifestações cutâneas no diabetes mellitus / Skin manifestations in diabetes mellitus

Background: Diabetes mellitus (DM) is a metabolic group with characteristic hyperglycemia that occurs due toabnormal insulin secretion, insulin action, or both. DM is often called the silent killer because the patients knowthey has DM only after the patient experiencing complications and manifestations. It is estimated that 30-70% of DM patients experience skin manifestations during the disease process. The relationship between the appearance of skin manifestations with diabetes mellitus is not yet known, but it is suspected due to chronic hyperglycemia and abnormalities of the immune system.Objective: To determine skin diseases in patients with type 2 diabetes at General Hospital Dr. Pirngadi Medan.Methods: This research was a descriptive study with a cross-sectional study design conducted at Dr. GeneralHospital Pirngadi Medan. Data collection was carried out through 29 medical records of patients with diabetesmellitus from January 2018 to December 2018. Samples were selected by total sampling.Results: From 29 samples studied, there were six types of skin manifestations. The most common skinmanifestations are Diabetic Ulcer (62.07%), followed by Steven Johnson Syndrome and diabetic gangrene, which both are equally 13.80%. The other skin manifestations are herpes zoster, gluteal abscess, and bullous pemphigoid (3.44%).Conclusion: The most common manifestation of the skin in patients with type 2 DM is Diabetic Ulcer.

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Study of cutaneous manifestations of type 2 diabetes mellitus

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20175544 ◽

2018 ◽

Vol 4 (1) ◽

pp. 8

Author(s):

Yoganand J. Phulari ◽

Vidisha Kaushik

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Age Group ◽

Cutaneous Manifestations ◽

Skin Manifestations ◽

Type 2 Dm ◽

Type 1 Dm

Background: Poorly controlled Type 2 diabetes mellitus (DM) is associated with several disorders and microvascular, macrovascular and neuropathic complications. Multiple factors play a role in the manifestations of cutaneous signs of DM. The prevalence of a cutaneous disorder appears to be similar between Type 1 DM and Type 2 DM patients, but Type 2 DM patients develop more frequent cutaneous infections, and Type 1 DM patients manifest more autoimmune-type cutaneous lesions. The objective of the study was to assess the various cutaneous manifestations of Type 2 DM and the relation of cutaneous manifestations with the duration of Type 2 DM.Methods: All patients of Type 2 DM, of age group 20 and above, of both sexes, attending OPD or IPD at Dr. D. Y. Patil Hospital, Kolhapur willing to give written informed consent, were included for the study between August 2014 – July 2016. Complete history and examination of all the patients with regards to onset of cutaneous manifestations was taken.Results: Majority (49%) of respondents were in the age group of 41 to 60 years, and majority (66%) were males. 57.5% were new cases and 42.5% were known cases. Duration of illness- majority 50.58% were <5 years, 27.05% in 6 to 10 years. In present study there were 61% who had infectious skin manifestations and 39% who had non-infectious skin manifestations. Out of infectious manifestations 39.5% had fungal infection. Conclusions: Therefore on the basis of present study, we conclude that the skin is involved in DM quite often. The manifestations are numerous and varied and many a times they can serve as diagnostic marker for underlying DM. Whenever patients present with multiple skin manifestations, their diabetic status should be checked. The recognition of these skin findings is the key to treatment and prevention.

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Association between skin manifestations and glycemic control in patients with diabetes mellitus type II

Vojnosanitetski pregled ◽

10.2298/vsp190226073u ◽

2019 ◽

pp. 73-73

Author(s):

Sipka Umicevic ◽

Jagoda Balaban ◽

Radojka Bijelic

Keyword(s):

Diabetes Mellitus ◽

Glycemic Control ◽

Diabetes Mellitus Type ◽

Type Ii ◽

Diabetes Mellitus Type Ii ◽

Skin Manifestations ◽

Patients With Diabetes

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Prevalence of Skin Manifestations in Diabetes Mellitus at King Abdulaziz University Hospital

Saudi Journal of Internal Medicine ◽

10.32790/sjim.2.1.4 ◽

2012 ◽

Vol 2 (1) ◽

pp. 19-22

Author(s):

Sameer KH. Zimmo

Keyword(s):

Diabetes Mellitus ◽

Type Ii Diabetes ◽

University Hospital ◽

Skin Manifestations ◽

High Prevalence ◽

Patients With Diabetes ◽

Common Skin ◽

King Abdulaziz University ◽

Diabetic Population ◽

The Common

Background: The prevalence of diabetes in Saudi Arabia is now one of the highest in the world, with the rise in prevalence of Type II diabetes. Patients with diabetes mellitus commonly suffer from a wide variety of cutaneous disorders. Aims: This study estimates the prevalence of skin manifestations in patients with diabetes mellitus, at King Abdulaziz University Hospital. Materials and Methods: Five hundred and fifty-eight patients with the diagnosis of diabetes, attending the dermatologic and diabetic clinic were included in this study. Results: The common skin disorders were: xerosis (74.7%), pruritus (38.2%), diabetic dermopathy (30.1%), finger pebbles (25.6%), and thickened skin (22.2%). Conclusion: Skin manifestations in diabetics are common. High prevalence of xerosis in our diabetic population is significant and further studies are recommended.

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Prevalence of Skin Manifestations in Diabetes Mellitus at King Abdulaziz University Hospital

Saudi Journal of Internal Medicine ◽

10.32790/sjim.2012.2.1.4 ◽

2012 ◽

Vol 2 (1) ◽

pp. 19-22

Author(s):

Sameer KH. Zimmo

Keyword(s):

Diabetes Mellitus ◽

Type Ii Diabetes ◽

University Hospital ◽

Skin Manifestations ◽

High Prevalence ◽

Patients With Diabetes ◽

Common Skin ◽

King Abdulaziz University ◽

Diabetic Population ◽

The Common

Background: The prevalence of diabetes in Saudi Arabia is now one of the highest in the world, with the rise in prevalence of Type II diabetes. Patients with diabetes mellitus commonly suffer from a wide variety of cutaneous disorders. Aims: This study estimates the prevalence of skin manifestations in patients with diabetes mellitus, at King Abdulaziz University Hospital. Materials and Methods: Five hundred and fifty-eight patients with the diagnosis of diabetes, attending the dermatologic and diabetic clinic were included in this study. Results: The common skin disorders were: xerosis (74.7%), pruritus (38.2%), diabetic dermopathy (30.1%), finger pebbles (25.6%), and thickened skin (22.2%). Conclusion: Skin manifestations in diabetics are common. High prevalence of xerosis in our diabetic population is significant and further studies are recommended.

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Skin Manifestations and Diabetes Mellitus

Nishi Nihon Hifuka ◽

10.2336/nishinihonhifu.35.707 ◽

1973 ◽

Vol 35 (6) ◽

pp. 707-715 ◽

Cited By ~ 1

Author(s):

Hirokazu YASUNO ◽

Kiyoshi KAGAMI ◽

Takeshi YANO

Keyword(s):

Diabetes Mellitus ◽

Skin Manifestations

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Cutaneous Manifestations of Diabetes Mellitus in a Tertiary Care Hospital in Bengaluru – A Cross Sectional Study

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/258 ◽

2021 ◽

Vol 8 (19) ◽

pp. 1352-1356

Author(s):

Kavana K ◽

Sharath Kumar B.C

Keyword(s):

Diabetes Mellitus ◽

Cross Sectional Study ◽

Cutaneous Manifestation ◽

Research Centre ◽

General Description ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Cutaneous Manifestations ◽

Skin Manifestations

BACKGROUND “Skin is a mirror of internal diseases”. Diabetes mellitus (DM) is a metabolic disorder that needs considerations of many different specialities but the importance of dermatologist’s knowledge has not drawn much attention. As a result, we intend to study various cutaneous manifestation of diabetes mellitus. Prior to diagnosis of diabetes mellitus, patient may present with cutaneous manifestation. Thus, it can help in early diagnosis, management and prevention of complication and help in improvement of quality of life. METHODS This is a descriptive cross-sectional study. A total of 500 diabetic patients with cutaneous manifestations, who attended skin outpatient department (OPD) at Kempegowda Institute of Medical Sciences Hospital and Research Centre, Bengaluru, Karnataka, India, were evaluated. Detailed history was taken along with physical and mucocutaneous examination. Cutaneous manifestations, general description of diabetes mellitus like duration, type, and drug history as well as the demographic data were collected and analysed using descriptive statistics. RESULTS Among a total of 500 diabetes mellitus subjects, the most common cutaneous manifestations were infections (35 %) followed by pruritus (11 %). Among infections, tinea infections (48.29 %) were the most common followed by intertrigo (21 %). CONCLUSIONS The ignorance of skin manifestations in diabetes or improper treatment may worsen the condition. Early detection and treatment of common skin manifestations in diabetes will prevent further complications especially in cases of extensive tinea corporis, pruritus, psoriasis, lichen planus, macro and micro angiopathies, trophic ulcers etc. KEYWORDS Cutaneous manifestations, Diabetes mellitus

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Cutaneous manifestations of endocrine disorders

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20181826 ◽

2018 ◽

Vol 4 (2) ◽

pp. 234

Author(s):

Kirthi Sampath K. ◽

Haritha S. ◽

Mahesh B.

Keyword(s):

Diabetes Mellitus ◽

Thyroid Disease ◽

Addison’S Disease ◽

Skin Lesions ◽

The Body ◽

Addison's Disease ◽

Thyroid Disorder ◽

Cutaneous Manifestations ◽

Skin Manifestations ◽

Wide Range

Background: It is a well-known fact that the skin is referred to as a window or mirror to the body. The present study was undertaken to know the spectrum of cutaneous manifestations in endocrinological disorders.Methods: A total of 500 patients with endocrinological disorders attending the Medical and Dermatology OPD at Dr. PSIMS&RF were studied. Among the 500 cases studied, 417 patients had diabetes, 81 cases had thyroid disorder and 2 patients had Addison’s disease.Results: Most common dermatoses observed in patients with diabetes mellitus were infections {(fungal 25.3%), bacterial (6.92%), viral (5.42%)} followed by eczemas (13.2%), psoriasis (8.13%). Among 81 patients with thyroid disease, 78 patients were hypothyroid and 3 patients had hyperthyroidism and skin manifestations were observed in 55 (67%) of the patients with thyroid disorders. Most common dermatoses observed in patients with hypothyroidism were fungal infections (23.07%), urticaria (19.23%), xerosis (13.46%), bacterial infections (13.46%), psoriasis (11.53%). All 3 hyperthyroid patients have shown skin manifestations. 2 patients had diffuse hair loss and 1 patient had vitiligo. 2 cases of Addison’s disease were observed and both of them showed diffuse hyperpigmentation with accentuation over palmar creases, knuckles and gums.Conclusions: The present study shows the wide range of skin lesions in patients with endocrinological disorders paerticularly diabetes mellitus and thyroid disease. Through knowledge of the associated skin lesions helps in early diagnosis of underlying endocrine abnormality and thereby appropriate treatment provided at the earliest helps in preventing complications.

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