A study of pattern of cutaneous manifestations in patients with diabetes mellitus
Keywords:
DIABETES, CUTANEOUS MANIFESTATIONSAbstract
Background Diabetes is a common endocrine disease which can present with different cutaneous manifestations. Skin can act as a mirror for various systemic diseases including diabetes. For example candidial balanitis & recurrent folliculitis can help in diagnosing diabetes. Autoimmune skin diseases like vitiligo & Alopecia areata are mostly associated with type 1 diabetes. Various skin manifestation can appear in diabetes due to the disease or due to antidiabetic drugs. Thus keeping this in view we have undertaken this study. Objective To study the pattern of various cutaneous manifestations in diabetic patients and to study their clinical correlation. Subjects and Methods A cross sectional observational study was performed on 251 patients (159males and 92 females) attending the dermatology outpatient department. A detailed dermatological examination was done and findings were recorded. Results Fungal infections were most common infections associated with diabetes and in non infectious condition skin tags and acanthosis nigricans were most common. Conclusion We conclude that fungal infections, skin tags and acanthosis nigricans are most commonly associated with diabetes.References
National Diabetes Fact Sheet, 2011.
Demirseren DD, Emre S, Akoglu G, Arpacı D, Arman A, Metin A, et al. Relationship Between Skin Diseases and Extracutaneous Complications of Diabetes Mellitus: Clinical Analysis of 750 Patients. Am J Clin Dermatol. 2014 Feb 1;15(1):65–70.
Perez MI, Kohn SR. Cutaneous manifestations of diabetes mellitus. J Am Acad Dermatol. 1994 Apr;30(4):519–31; quiz 532–4.
Bhardwaj N, Roy S, Jindal R, Ahmad S. Cutaneous manifestations of diabetes mellitus: a clinical study. Int J Res Dermatol. 2018 Jul 24;4(3):352–6.
Pavlovic MD, Milenkovic T, Dinic M, Misovic M, Dakovic D, Todorovic S, et al. The Prevalence of Cutaneous Manifestations in Young Patients With Type 1 Diabetes. Diabetes Care. 2007 Aug 1;30(8):1964–7.
Shahzad M, Al Robaee A, Al Shobaili HA, Alzolibani AA, Al Marshood AA, Al Moteri B. Skin Manifestations in Diabetic Patients Attending a Diabetic Clinic in the Qassim Region, Saudi Arabia. Med Princ Pract. 2011;20(2):137–41.
Chatterjee N, Chattopadhyay C, Sengupta N, Das C, Sarma N, Pal SK. An observational study of cutaneous manifestations in diabetes mellitus in a tertiary care Hospital of Eastern India. Indian J Endocrinol Metab. 2014;18(2):217–20. 68. Deepika D, Gupta SK, Singh P, Monika D. Pattern of dermatological diseases in patients of diabetes mellitus. J Pak Assoc Dermatol. 2017 Mar 29;26(3):214–8.
Ahmed K, Muhammad Z, Qayum I. Prevalence of cutaneous manifestations of diabetes mellitus. J Ayub Med Coll Abbottabad. 2009;21(2):76–9.
Phulari YJ, Kaushik V. Study of cutaneous manifestations of type 2 diabetes mellitus. Int J Res Dermatol. 2018 Jan 23;4(1):8–13.
Al-Mutairi,Zaki A, Sharma AK,Al-sheltawi M.Cutanoeous Manifestations of diabetes mellitus.Med Princ Pract.2006;15(6):427-430
Gupta SK, Singh Z, Purty AJ, Vishwanathan M. Diabetes prevalence and its risk factors in urban Pondicherry. Int J Diabetes Dev Ctries. 2009;29(4):166–9.
Kambil S. Prevalence of Cutaneous Manifestations in Patients with Diabetes Mellitus of North Kerala. 2017;5(9):5.
