A Study of Cutaneous Manifestations Associated with Diabetes Mellitus at a Tertiary Care Teaching Hospital

  • Nek Ram Baghel Associate Professor & Head Department of Dermatology Uttar Pradesh University of Medical Sciences, Saifai, Etawah, UP, India.
  • Sankalp Awasthi Assistant Professor Department of Dermatology Uttar Pradesh University of Medical Sciences, Saifai, Etawah, UP, India.
  • Sweta Kumari Lecturer, Department of Dermatology Uttar Pradesh University of Medical Sciences, Saifai, Etawah, UP, India.
  • Pankaj Rao Assistant Professor, Department of Dermatology, Dr. SN Medical College, Jodhpur, Rajasthan, India.
  • Saurabh Agrawal Consultant Dermatologist, Kothari Medical and Research Institute, Bikaner, Rajasthan, India.
  • R S Rajpoot Additional Professor, Department of Physiology, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, UP, India.

Abstract

Background: Diabetes mellitus has emerged as a major public health problem in our country, and our country has a distinction of having the largest number of diabetics in the world. Only a few epidemiologic studies have been done on the prevalence of skin disorders in patients with diabetes mellitus. Present study was conducted to study of cutaneous manifestations associated with diabetes mellitus at a tertiary care teaching hospital. Methods: 200 patients with Diabetes Mellitus, visiting the Department of Medicine and Department of Dermatology (outpatient and inpatient) of Uttar Pradesh University of Medical Sciences, Saifai, Etawah, UP (India) during the period of 1 yr. from April 2015 to March 2016 were included in the study. Detailed history was taken as per proforma and patient investigated. Results: Maximum incidence was seen between 41-70 yrs. of age and in middle class. Infections and infestations were the commonest associations detected in 49.5% of cases out of which fungal infections were observed in majority of the cases (24.5%) followed by bacterial infection (15.5%) and viral infections (7.0%). Psoriasis and xerosis were detected in 6.0 % of cases each. Skin disease strongly associated with diabetes mellitus like vitiligo were observed in 3.5 % of cases. Conclusion: Skin lesions in Diabetes mellitus are sometimes mirror to an underlying disease process and they may be the first expression of the disease. Most of the diabetic patients who developed cutaneous manifestations were in the 41-70 year age group, and infections were the single largest type of involvement seen. Cutaneous lesions can serve as cutaneous markers for DM. These can be detected by a simple cutaneous examination. The commonly seen nonspecific skin manifestations can also be used as skin markers for DM. This can be especially useful in the rural areas where advanced facilities are often unavailable.

 

 

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References

1. Sarah Wilde, Gojka Roglic, et al., Global Prevalence of Diabetes, Diabetes Care, May 2004, Vol. 27(5),1047-1053
2. Sicree R, Shaw J, Zimmet P. Diabetes and impaired glucose tolerance. In: Gan D, editor. Diabetes atlas. International diabetes federation. 3rd ed. Belgium: International Diabetes Federation; 2006. p. 15-103.
3. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes, estimates for the year 2000 and projection for 2030. Diabetes Care 2004;27:1047-53.
4. Paron NG, Lambert PW: Cutaneous manifestations of diabetes mellitus. Prim Care 2000; 27: 371–383.
5. Yosipovitch G, Hodak E, Vardi P, Shraga I, Karp M, Sprecher E, David M: The prevalence of cutaneous manifestations in IDDM patients and their association with diabetes risk factors and microvascular complications. Diabetes Care 1998; 21: 506–509.
6. Simon Van Hattem, Aart H Bootsma, et al., Skin Manifestations of Diabetes, Cleaveland Clinic Journal of Medicine ,Nov. 2008, Vol.75, pg.11
7. C.F Lai,et al., Cutaneous Manifestations in DM, Hong Kong Practitioners, May 1992, 14(5), pg.2060.
8. 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.
9. Sasmaz S, Buyukbese MA, Cetinkaya A, Celik M, Arican O. The prevalence of skin disorders in type-2 diabetic patients. Int J Dermatol 2005;3:1.
10. Abhishek Goyal, Sujeet Raina, Satinder S Kaushal, Vikram Mahajan, Nand Lal Sharma. Pattern of Cutaneous Manifestations in Diabetes Mellitus; Indian J Dermatol 2010:55(1):39-41. DOI: 10.4103/0019-5154.60349
11. Thomas George et al. Cutaneous manifestations in diabetes mellitus study of 50 cases. IJDVL 1976; 42: 261-266.
12. Satish K. S, Ramya N, Soumya V. Cutaneous Manifestations associated with Diabetes Mellitus. Journal of Evolution of Medical and Dental Sciences 2014; 3(40), September 01; Page: 10160-10169, DOI: 10.14260/jemds/2014/3320
13. Nigam PK, Pande S: Pattern of dermatoses in diabetics. Indian J Dermatol Venereol Leprol 2003; 69: 83–85.
14. Mahajan S, Koranne RV, Sharma SK: Cutaneous manifestation of diabetes mellitus. Indian J Dermatol Venereol Leprol 2003; 69: 105–108.
15. Nawaf Al-Mutairi, Amr Zaki, Ashok Kumar Sharma, Mazen Al-Sheltawi. Cutaneous Manifestations of Diabetes Mellitus. Med Princ Pract 2006;15:427–430.
16. Joslin EP, Root HF, White P et al. Joslins Diabetes mellitus. 13th Edn. Philadelphia: Lea and febiger.1994.
17. Kemmerly SA: Dermatologic manifestations of infections in diabetics. Infect Dis Clin North Am 1994; 8: 523–532.
18. Anand LC et al. Assessment of Diabetic state in various skin disorder usually associated with hyperglycemia. IJDVL 1978; 44: 95-102.
19. Green wood Am et al. A study of skin in five hundred cases of diabetes. Am Med Association 1977; 89: 774-776.
Published
2016-09-28
How to Cite
1.
Baghel NR, Awasthi S, Kumari S, Rao P, Agrawal S, Rajpoot RS. A Study of Cutaneous Manifestations Associated with Diabetes Mellitus at a Tertiary Care Teaching Hospital. Int Arch BioMed Clin Res [Internet]. 2016Sep.28 [cited 2019Nov.13];2(3):89-2. Available from: https://iabcr.org/index.php/iabcr/article/view/180
Section
ORIGINAL ARTICLES ~ General Surgery