Frequency of pityriasis versicolor in diabetic patients attending a tertiary care hospital
Keywords:
Pityriasis versicolor, tinea versicolor, diabetes mellitus type 2Abstract
Objective To determine the frequency of pityriasis versicolor (PV) in uncontrolled diabetes patients attending a tertiary care hospital. Methods This descriptive, cross-sectional study was conducted in the Dermatology Department, Civil Hospital, Karachi and Diabetic OPD Civil Hospital, Karachi. Diabetic patients of ages 40-70 years, of either gender who presented in OPD were selected for study. Only those patients whose random blood sugar (RBS) was more than 200 mg/dl and whose duration of diabetes was more than 5 years were included in study. Patients who were taking corticosteroids or immunosuppressive drug were excluded from study. 119 patients were enrolled in study. Patients were examined for PV and skin scrapings were taken for microscopy. Results PV was detected in 5 out of 119 (4.2%) patients. Males were found to be affected more than females. There was no association between PV and duration of diabetes. Conclusion Pityriasis versicolor is not very common in diabetic patients.ÂReferences
Ghosh SK, Dey SK, Saha I et al. Pityriasis versicolor: a clinicomycological and epidemiological study from a tertiary care hospital. Indian J Dermatol. 2008;53:182-5. Epub 2008/01/01.
Morishita N, Sei Y. Microreview of pityriasis versicolor and Malassezia species. Mycopathologia. 2006;162:373-6. Epub 2006/12/06.
Foss NT, Polon DP, Takada MH et al. Skin lesions in diabetic patients. Rev Saude Publica. 2005;39:677-82. Epub 2005/08/23.
Mansour A, Hamdi K, Al-Aseady A. Prevalence of pityriasis versicolor among diabetics in Basrah. Reumatologia. 2008;46:322-9.
Eckhard M, Lengler A, Liersch J et al. Fungal foot infections in patients with diabetes mellitus--results of two independent investigations. Mycoses. 2007;50 Suppl 2:14-9. Epub 2007/08/08.
Naheed T, Akbar N, Shehzad M et al. Skin manifestations amongst diabetic patients admitted in a general medical ward for various other medical problems. Pak J Med Sci. 2002;18:291-6.
Skorepova M. Mycoses and diabetes. Vnitr Lek. 2006;52:470-3. Epub 2006/06/15.
Gupta A, Bluhm R, Summerbell R. Pityriasis versicolor. J Eur Acad Dermatol Venereol. 2002;16:19-33.
Moniri R, Nazeri M, Amiri S, Asghari B. Isolation and identification of Malassezia spp. in pityriasis versicolor in Kashan, Iran. Pak J Med Sci. 2009;25:837-40.
Crespo-Erchiga V, Gómez-Moyano E, Crespo M. Pityriasis versicolor and the yeasts of genus Malassezia. Actas Dermo-Sifiliográficas (English Edition). 2008;99:764-71.
Yosipovitch G, Hodak E, Vardi P et al. The prevalence of cutaneous manifestations in IDDM patients and their association with diabetes risk factors and microvascular complications. Diabetes Care. 1998;21:506-9.
Nigam P, Pande S. Pattern of dermatoses in diabetics. Indian J Dermatol Venereol Leprol. 2003;69:83-5.
Mahajan S, Koranne R, Sharma S. Cutaneous manifestation of diabetes mellitus. Indian J Dermatol Venereol Leprol. 2003;69:105-8.
Bhat Y, Gupta V, Kudyar R. Cutaneous manifestations of diabetes mellitus. Int J Diabetes Dev Ctries. 2006;26:152-5.
Karaka M, Turaçbçer A, Lkt M et al. Epidemiology of pityriasis versicolor in Adana, Turkey. J Dermatol. 2009;36:377-82.
Kyriakis KP, Terzoudi S, Palamaras I et al. Pityriasis versicolor prevalence by age and gender. Mycoses. 2006;49:517-8.
Garcia-Humbria L, Richard-Yegres N, Perez-Blanco M et al. Superficial mycoses: comparative study between type 2 diabetic patients and a non-diabetic control group. Invest Clin. 2005;46:65-74. Epub 2005/03/24.