A clinical study of skin manifestations in diabetes at a tertiary hospital in Kerala

Anju Antony


Background: Though extensive data is available on diabetes and its systemic manifestations, research about the skin lesions in those afflicted with diabetes is scarce. The aim of this study was to understand dermatological manifestations in diabetes.

Methods: A hospital based cross sectional study was carried out among 100 randomly selected diabetic patients afflicted with skin lesions due to diabetes.

Results: Out of 73 patients having cutaneous infections, 71.2% were having fungal infections. Out of 18 having bacterial infections, 38.9% were having furuncles. Out of 52 having fungal infections, 63.5% were having dermatophytosis. Out of 14 cases of candidal infections, the most common was intertrigo in 35.7%. Out of 33 cases of dermatophytosis, T. cruris was the most common in 54.5%. Out of 82 patients in whom we suspected dermatoses strongly associated with diabetes, the most common condition was pruritus in 36.6% of the cases.

Conclusions: Bacterial skin infections and dermatophytosis were the most common diabetic dermatological lesions in the present study.


Cutaneous manifestations, Type II diabetes, Furuncles

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Ahmed K, Muhammad Z, Qayum I. Prevalence of cutaneous manifestations of diabetes mellitus. J Ayub Med Coll Abbottabad. 2009;21:76-8.

Romano G, Moretti G, Di Benedetto A, Giofrè C, Di Cesare E, Russo G, et al. Skin lesions in diabetes mellitus: prevalence and clinical correlations. Diabetes Res Clin Pract. 1998;39(2):101-6.

Bashier AH, Kordofani YM. Clinicoepidemiological study of cutaneous manifestations of diabetes mellitus in Sudanese patients. Sud J Dermatol. 2004;2:54-60.

Baloch GH, Memon NM, Ram B, Iqbal P, Thebo NK. Cutaneous manifestation of type II diabetes mellitus. J Liaquat Uni Med Health Sci. 2008;7:67-70.

Bhat YJ, Gupta V, Kudyar RP. Cutaneous manifestations of diabetes mellitus. Int J Diab Dev Ctries. 2006;26:152-5.

Ragunatha S, Anitha B, Inamadar AC, Palit A, Devarmani SS. Cutaneous disorders in 500 diabetic patients attending diabetic clinic. Indian J Dermatol. 2011;56(2):160-4.

Mahajan S, Koranne RV, Sharma SK. Cutaneous manifestation of diabetes mellitus. Indian J Dermatol Venereol Leprol. 2003;69(2):105-8.

Timshina DK, Thappa DM, Agrawal A. A clinical study of dermatoses in diabetes to establish its markers. Indian J Dermatol. 2012;57(1):20-5.

Sawatkar GU, Kanwar AJ, Dogra S, Bhadada SK, Daval D. Spectrum of cutaneous manifestations of type 1 diabetes mellitus in 500 South Asian patients. Br J Dermatol. 2014;171(6):1402-6.

Yosipovitch G, Hodak E, Vardi P, Shraga I, Karp M, Sprecher E, et al. The prevalence of cutaneous manifestations in IDDM patients and their association with diabetes risk factors and microvascular complications. Diabetes Care. 1998;21(4):506-9.