Skin Manifestation of Diabetes Mellitus in El-Beida City (original) (raw)
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Dermatological Manifestations among Diabetic Patients Attending Diabetes Centers in Mosul City
Iraqi Medical Journal, 2019
ABSTRACT Background: Skin manifestation is an important issue involving the rising epidemic of diabetes mellitus as it can precede or complicate the disease. Objectives: To assess the point prevalence and patterns of skin manifestations in patients with diabetes mellitus attending diabetes centers in Mosul City. Methods: A cross-sectional study that covered 674 diabetic patients taken from two diabetic centers. A special questionnaire form was prepared using simplified and summarized questions. Data collected from the 11th of December 2011 to the 20th of May 2012. Results: Statistical analysis of data revealed a point prevalence of 100%. Most of patients had non-insulin dependent diabetes mellitus (66.5%), the mean age of 48±13.76 years. About two thirds of patients (64.7%) had uncontrolled diabetes mellitus with HbA1c of > 6.5% and 61.9% had a duration of 5 to 10 years. Infections represented a highest proportion of skin manifestations among diabetic patients (39.9%) of which fungal infections constituted 59%. Skin manifestations of diabetic complication was the second most common type (22.7%) of which diabetic shin spot represented 52.2%. Skin reaction to diabetic treatment is the third in frequency of occurrence (22.1%); with a highest proportion (23.0%) among insulin dependent diabetes mellitus. The lowest proportion of skin manifestations is that due to skin lesions with strong to weak association (16.3%) of which pruritus represented 43.6%. Conclusions: Skin manifestations in diabetic patients are common, so to be considered by clinical staff and health educational personnel dealing with diabetic patients. Keywords: Skin; Dermatological manifestations; Diabetes mellitus; Mosul City.
Medical Principles and Practice, 2011
To investigate the prevalence of skin manifestations in diabetic patients attending a diabetic clinic in the Qassim region, Saudi Arabia. A prospective observational study was performed on 320 patients (174 males and 146 females) attending the diabetic clinic. A detailed dermatological examination was carried out by a consultant dermatologist and the cutaneous findings were recorded. The overall prevalence of skin manifestations was 91.2%. Cutaneous lesions were seen in 12 patients (34.3%) of type 1 diabetes mellitus (DM) and 280 (98.2%) of type 2 diabetics. There was a statistically significant difference (p < 0.001) in skin manifestations between type 1 and type 2 DM patients. For those patients having diabetes of less than 5 years' duration, the incidence of skin manifestations was 80.6%; for those having had diabetes for more than 5 years, the incidence was 98%. This difference was statistically significant (p < 0.001). The skin manifestations that had a statistically ...
Back ground: Diabetes mellitus (DM) is a major cause of morbidity and mortality Worldwide Diabetes is characterized by a state of relative or complete insulin deficiency, leading to gross defects in glucose, fat, and protein metabolism. Metabolic abnormalities in glucose and insulin relate directly to diabetic thick skin, limited joint mobility, eruptive xanthomas, and acanthosis nigricans (3). Neuropathy, vasculopathy, and immune dysfunction associated with diabetes contribute directly to lower extremity ulcers and certain cutaneous infections (3). A hospital based study was conducted in Khartoum, Sudan at Jaber AboEliz diabetic center (JDC) & Albuluk children hospital. The aim of this study was to estimate the prevalence of cutaneous manifestations among diabetic children, to find out the relation between the disease duration of DM and glycemic control and between presences of cutaneous manifestations. Patient and method: This is Prospective cross sectional hospital based study, 400children,age less than 16years presented with DM type(1) to Jaber AbuEliz diabetic center and Albuluk hospital in period from June to November 2011. The data was collected by questionnaire to obtain the following: Personal data, duration of diabetes mellitus, Symptoms of skin disease and full dermatological examination, diagnosis was mainly clinically, confirmatory investigations was done in some cases (skin scraping and nail clip for fungal element were done to confirm the diagnosis of tinea capitis, candidal intertrigo and oncychomycosis). The Level of HbAIc was been measured for every patient to assess his glycemic control. Result: Four hundred diabetic children (54%males, 46% female), 328 of them were seen at JDC, 72 of them at Albuluk hospital. Cutaneous manifestations among study group were seen in 23% of the cases. 22.6% 0f patients who had cutaneous manifestation had insulin lipohypertrophy, 14.6% had xerosis, Limited joint mobility SYNDROME in 9.4%, 8.3% had Seborrheic dermatitis, 8.3% had papular urticaria, 6.3% had eczema, 3.1% had abscess, 3.1% had impetigo, 3.1% had onychomycosis, 3.1% had candidal intertrigo, 2.1%had tinea capitis, 2.1% had tinea versicolor, 2.1% had molloscum contagiosum and 2.1% had insulin lipoartrophy. Forty one percent of patients who had cutaneous manifestations had duration of DM ranging from7-9 yrs. Also, Fifty eight percent of patients who had cutaneous manifestations had level of Hb A1C > 11%. So, there is significant relationship between duration of DM and level of Hb A1C and the presence of cutaneous manifestations. Conclusion: Twenty three percent (23) of patients in this study group had a cutaneous manifestation. There is significant relationship between presence of cutaneous manifestation and Hb AIc level and disease duration of DM. This study was performed in diabetic children maximum duration of diabetis mellitus is 11 yrs, this is may be certainly the reason for absence of cutaneous disorder like (GA, NLD, diabetic dermopathy and diabetic foot ulcer).
Patterns of dermatological disorders among diabetics
2013
Diabetes Mellitus is a common metabolic disorder associated with significant dermatological alterations. This study was set out to demonstrate the pattern of the various dermatological disorders seen among diabetic population in Obafemi Awolowo University Teaching Hospitals Complex Ile Ife, a tertiary health care institution in south west Nigeria. Infective skin conditions appear to occur with greater frequency compared to the non-infective dermatoses and poor glycaemic control seems to be the most significant predictor of the presence of such skin lesions (p<0.001). Among diverse numbers of cutaneous lesions seen in this study, superficial fungal infections accounted for the highest prevalence and was seen in 35.4%. Pruritus ranked next with a prevalence of 16.7%. Others include Diabetic dermopathy (14.8%), acanthosis nigricans (4.9%), and Diabetic thick skin seen in 4% etc. The overall prevalence of cutaneous lesions in this study was 73%.
Case Series Study on Skin Manifestations in Diabetic Patients
International journal of health sciences
Aim: The present study aimed to investigate the skin manifestation in diabetic patients. Patients and Methods: A case-series study was conducted on 120 diabetes patients having skin manifestation investigated in the Department of Dermatology, PIMS Hospital, Islamabad from 11th March 2021 to 10th March 2022. Study protocol was approved by the institute research and ethical committee. Patients of either gender or age with diabetes mellitus and having at least one skin manifestation were enrolled. Each individual underwent dermatological examination and systemic findings were noted. Blood samples from each individual were taken for measuring the blood glucose level. Skin manifestation images and relevant investigations such as histopathological and microbiological were conducted. SPSS version 26 was used for data analysis. Results: Of the total 120 DM patients, there were 86 (71.7%) type 2 DM or non-insulin dependent and 34 (28.3%) were type I DM or insulin dependent. Out of 120 DM pa...
Dermatological Manifestations in Diabetes Mellitus at NGMCTH Kohalpur
Journal of Nepalgunj Medical College, 2017
Background: Skin is the largest and most visible organ in the body. It undoubtedly determines to a great extent our appearance and plays a major role in socio-sexual communication. More than one third of diabetic patients have some type of dermatologic 1 manifestations during the course of their chronic disease. The association of certain skin diseases with diabetes mellitus has been 2 3 fairly well recognized with an incidence rate ranging from 11.4% to 66%. At least 30% of patients with diabetes mellitus have some 4 5 type of cutaneous involvement during the course of their chronic disease. Skin sugar levels run parallel to the blood sugar levels. Skin changes generally appear subsequent to the development of DM but may be the first presenting sign or even precede the 6 diagnosis by many years. Among the many skin manifestations in DM, none is pathognomonic of this disease. Cutaneous findings in DM can be classified into four categories: (1) skin disease with strong association and others with less distinct association with DM, (2) cutaneous infections, (3) dermatological disorders related to diabetic complications, and (4) skin conditions related to diabetes 7 treatment. Objectives: This study was undertaken to find out the pattern of Dermatological manifestations in Diabetes patients
Pattern of cutaneous manifestations in diabetes mellitus
Indian Journal of Dermatology, 2010
Background: Diabetes mellitus affects individuals of all ages and socioeconomic status. Skin is affected by the acute metabolic derangements as well as by chronic degenerative complications of diabetes. Aims: To evaluate the prevalence of skin manifestations in patients with diabetes mellitus. To analyze the prevalence and pattern of skin disorders among diabetic patients from this region of Western Himalayas. Materials and Methods: One hundred consecutive patients with the diagnosis of diabetes mellitus and having skin lesions, either attending the diabetic clinic or admitted in medical wards were included in this study. Results: The common skin disorders were: Xerosis (44%), diabetic dermopathy (36%), skin tags (32%), cutaneous infections (31%), and seborrheic keratosis (30%). Conclusion: Skin is involved in diabetes quite often and the manifestations are numerous. High prevalence of xerosis in our diabetic population is perhaps due to cold and dry climatic conditions in the region for most of the time in the year.
Journal of Diabetes & Metabolism, 2018
Introduction: Diabetes leads to destruction all over the body and the skin is not exempted from the attack. The skin shares both the effects of acute gross metabolic derangement and chronic degenerative changes of diabetes, as it are an actively metabolizing tissue. Aims and objectives: To study the clinical patterns of dermatological manifestations of diabetes mellitus in the region of eastern India. Methods: Sixty consecutive subjects with diabetes mellitus having dermatological manifestations and satisfying the inclusion criteria were included in this study. Results: Bacterial infections were the commonest dermatological disorder (46.7%). Different forms of dermatophyte infections and candidiasis were found in 30% and 23.3% subjects, respectively. Diabetic dermopathy or 'shin spot' and diabetic foot with gangrenous changes were found in 20% and 13.3% subjects, respectively. Skin manifestations associated with diabetes were the second most common skin disorders and constituted 43.3% (26 out of 60 cases). Pruritus of unknown origin and xerosis (13.3%) were the most common cutaneous abnormalities in the group associated with diabetes. Other cutaneous manifestations, namely pigmented purpuric dermatosis (6.6%), psoriasis (3.3%), vitiligo (6.6%), lichen planus (3.3%), porokeartosis (3.3%), sclerosis, diabetic thick skin and contracture (6.6%), lipodystrophy (3.3%), skin rashes (6.6%) and scar with abscess (1.6%), were very rare. Conclusions: Our study has provided some insights into the pattern of dermatological manifestations in diabetes mellitus. A larger prospective study will further consolidate our main objective that management of diabetes is a holistic one and due attention on skin complications is warranted.
Skin Manifestations in Patients with Type-II Diabetes Mellitus
https://www.ijrrjournal.com/IJRR\_Vol.6\_Issue.9\_Sep2019/Abstract\_IJRR0010.html, 2019
Objectives: Our primary objective is to assess the pattern and profile of skin manifestations in patients with Type-II Diabetes Mellitus of age groups ranging from 18 to 80 years. Methodology: It was a prospective observational study conducted A total of 300 random cases were included in the study and were followed for the evaluation of various parameters like duration of diabetes, Glycated haemoglobin (HbA1c) and skin manifestations. This study included all diabetic patients newly or previously diagnosed of 18 to 70 years of age group. Results: In our study we have observed that 60.33% of patients have skin lesions and 39.67% of patients don't have skin lesions. The association between skin manifestations and HbA1c, Statistically significant association was seen between skin tag and HbA1c grading (P<0.05) followed by Diabetic Dermopathy and Bacterial skin manifestations. There was no statistically significant association seen between skin manifestations and duration of diabetes. Among all skin manifestations in accordance to the gender, fungal skin manifestations were found to be highest in females in comparison to males. Conclusion: We concluded that majority of the patients with skin lesions were not having good glycemic control as there HbA1c were above normal range. Skin manifestations like bacterial, viral, keratosis and vitiligo were more commonly observed in males.
A study on the cutaneous manifestations of diabetes mellitus
diabetic foot
The cutaneous manifestations of diabetes mellitus are varied. We conducted a study of fifty patients having diabetes mellitus coming from the department of dermatology and medicine. The commonest cutaneous feature of diabetes were pyodermas seen in 40% patients, dermatophytosis seen in 36% patients, pruritis diabetic thick skin seen in 20 % patients, diabetic dermopathy seen in 16% patients, diabetic bulla and rubeosis seen in 8% patients each and meralgia paraesthetica and diabetic foot seen in 4% patients each. About the associations of diabetes mellitus, achrchordons were seen in 8% patients, vitiligo and perforating dermatoses were seen in 6% patients each, granuloma annulare, eruptive xanthomas, acanthosis nigricans, necrobiosis lipoidica and oral lichen planus were seen in 4 % patients each and xanthelasma was seen in 2% patients.