DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20190241

Cutaneous manifestations of diabetes mellitus: a clinico epidemiological study

S. Venkatesan, S. Thamizhselvi, Tharini .

Abstract


Background: Diabetes mellitus is one of the commonest non communicable diseases seen all over the world, constituting 49% from India, i.e., 72 million patients according to the Indian Council of Medical Research. The aim of the study was to study the various skin manifestations in diabetic patients and to correlate them with glycemic levels.

Methods: Patients for the study were chosen among those who were on treatment for diabetes mellitus and presented to the skin department with various cutaneous manifestations.

Results: Infections were commonest cutaneous manifestations in both type 1 and type 2. Among infections, fungal infections were commoner followed by bacterial infections. Among house wives, the commoner was candidal dermatosis intertrigo-toe/finger cleft followed by chronic paronychia. Among bacterial infections, erythrasma was commonly followed by pyoderma. Among pyodermas, furunculosis was common. Most common associated dermatoses were acanthosis nigricans and acrochordons. Treatment-related manifestations were not found.

Conclusions: In type 2 diabetic patients, infections were commonly followed by acanthosis nigricans, acrochordons, and generalized pruritus. Glycemic levels were higher in those with candidiasis and also with pyodermas. 


Keywords


Diabetes, Glycemic levels, Infections and associated dermatoses

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References


Bhargava P, Mathur SK, Mathur DK, Malpani S, Goel S, Agarwal US, et al. Acrochordon, diabetes and associations. Ind J Dermat Vener Lepro. 1996;62(4):226-8.

Vahora R, Thakkar S, Marfatia Y. Skin a mirror reflecting diabetes. Ind J Endocr Metab 2013;17:659-64.

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.

Sanad EM, ElFangary MM, Sorour NE, ElNemisy NM. Skin manifestations in Egyptian diabetic patients: a case series study. Egypt J Dermatol Venerol. 2013;33:56-62.

Ghosh K, Das K, Ghosh S, Chakraborty S, Jatua SK, Bhattacharya A, Ghosh M. Prevalence of Skin Changes in Diabetes Mellitus and its Correlation with Internal Diseases: A Single Center Observational Study. Indian J Dermatol. 2015;60(5):465-9.

Girisha BS, Neethu V. Comparison of Comparison of cutaneous manifestations of diabetic with nondiabetic patients: A case-control study. Clin Dermatol Rev. 2017;1:9-14.

Goyal A, Raina S, Kaushal SS, Mahajan V, Sharma NL. Pattern of cutaneous manifestations in diabetes mellitus. Indian J Dermatol. 2010;55:39-41.

Nigam PK, Pande S. Pattern of dermatoses in diabetes. Indian J Dermatol Venereol Leprol. 2003;69:83–5.

Mahajan S, Koranne RV, Sharma SK. Cutaneous manifestation of diabetes melitus. Indian J Dermatol Venereol Leprol. 2003;69:105-8.

George T, Fernandez JC. Cutaneous manifestations in diabetes mellitus study of 50 cases. Indian J Dermatol Venereol Leprol. 1976;42:261-6.