Spectrum of mucocutaneous manifestations of diabetes mellitus in Jharkhand
Keywords:
Diabetes mellitus, superficial fungal infections, xerosis, acrochordonsAbstract
Objective To study the prevalence and the pattern of mucocutaneous manifestations among diabetic patients to aid in better management of diabetic skin diseases. Methods Three hundred consecutive patients with the diagnosis of diabetes mellitus (DM) and seeking treatment for skin lesions in the OPD of Department of Dermatology in Rajendra Institute of Medical Sciences, Ranchi were included in the study. Results Diabetic patients accounted for 7.2% of Dermatology OPD attendance with a male preponderance (M:F=1.4:1). The common skin disorders for which patients sought treatment were: superficial fungal infections (24%), acrochordons (17.7%), xerosis (13.7%) and bacterial infections (7.4%). Conclusion Skin problems are quite common among diabetic population. Most of the dermatoses were infectious in nature. The early detection of mucocutaneous manifestations in DM is of utmost importance to be able to avoid and manage the complications and prevent disability.References
Joshi SR, Parikh RM. India-diabetes capital of the world: now heading towards hypertension. J Assoc Physicians India. 2007;55:323-4.
Kumar A, Goel MK, Jain RB, Khanna P, Chaudhary V. India towards diabetes control: Key issues. Australas Med J. 2013;6:524-31.
Park K, editor. Preventive medicine in obstetrics, paediatrics and geriatrics. In: Park K, editor. Park’s Textbook of Preventive and Social Medicine. 24th edn. Jabalpur: M/S Banarsidas Bhanot Publishers; 2017. P. 412.
Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes- estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047-53.
Sicree R, Shaw J, Zimmet P. Diabetes and impaired glucose tolerance. In: Gan D, editor. Diabetes Atlas. International Diabetes federation. 3rd ed. Brussels, Belgium: International Diabetes Federation; 2006. P. 15-103.
WHO (1980). Techn. Rep. Ser., No. 646.
Gkogkolou P, Bohm M. Skin disorders in diabetes mellitus. J Dtsch Dermatol Ges. 2014;12:847-64. doi:10.1111/ddg.12424
Bhat YJ, Gupta V, Kudyar RP. Cutaneous manifestations of diabetes mellitus. Int J Diab Dev Ctries. 2006;26:152-5.
Rongioletti F, Smoller BR, editors. Clinical and Pathological Aspects of Skin Diseases in Endocrine, Metabolic, Nutritional and Deposition Diseases. Berlin: Springer Science; 2010.
Goyal A, Raina S, Kaushal SS, Mahajan V, Sharma NL. Pattern of cutaneous manifestations in diabetes mellitus. Indian J Dermatol. 2010;55:39-41.
Romano G, Moretti G, Di Benedetto A, Giofre C, Di Cesare E Russo G et al. Skin lesions in diabetes mellitus: Prevalence and clinical correlations. Diabetes Res Clin Pract. 1998;39:101-6.
Ahmed K, Muhammad Z, Qayum I. Prevalence of cutaneous manifestation of diabetes mellitus. J Ayyub Med Coll Abbottabad. 2009;21:76-9.
Shahzad M, Al Robaee A, Al Shobaili HA, Alzolibani AA, Al Marshood AA, Al Moteri B et al. Skin manifestations in diabetic patients attending a diabetic clinic in the Qassim region, Saudi Arabia. Med Princ Pract. 2011;20:137-41.
Rasi A, Soltani-Arabshahi R, Shahbazi N. Skin tag as a cutaneous marker for impaired carbohydrate metabolism: A case-control study. Int J Dermatol. 2007;46:1155-9.
Yamaoka H, Saski H, Yamasaki H, Oqawa K, Ohta T, Furuta H et al. Truncal pruritus of unknown origin may be a symptom of diabetic polyneuropathy. Diabetes Care. 2010;33:150-5.
Vahora R, Thakkar S, Marfatia Y. Skin, a mirror reflecting diabetes mellitus: A longitudinal study in a tertiary care hospital in Gujarat. Indian J Endocr Metab. 2013;17:659-64.
Sanad EM, El Fangary MM, Sorour NE, El Nemisy NM. Skin manifestations in Egyptian diabetic patients: a case series study. Egypt J Dermatol Venereol. 2013;33:56-62.
Levy L, Zeichner JA. Dermatologic manifestation of diabetes. J Diabetes. 2012;4:68-76.
Leone S, Pascale R, Vitale M, Esposito S. Epidemiology of diabetic foot. Infez Med. 2012;20 Suppl 1:8-13.
Richard JL, Schuldiner S. Epidemiology of diabetic foot problems. Rev Med Interne. 2008;29 Suppl 2:S222-S230.
Nather A, Bee CS, Huak CY, Chew JL, Lin CB, Neo S et al. Epidemiology of diabetic foot problems and predictive factors for limb loss. J Diabetes Complications. 2008;22:77-82.
Bakri FG, Allan AH, Khader YS, Younes NA, Ajlouni KM. Prevalence of diabetic foot ulcer and its associated risk factors among diabetic patients in Jordan. J Med J. 2012;46:118-25.
Clayton W Jr, Elasy TA. A review of the pathophysiology, classification and treatment of foot ulcers in diabetic patients. Clinical Diabetes. 2009;27:52-8.
Wolf G. New insights into the pathophysiology of diabetic nephropathy: from haemodynamics to molecular pathology. Eur J Clin Invest. 2004;34:785-96.
Olasode OA. Why vitiligo in diabetes? Egypt Dermatol Online J. 2005;1:1-6.
