A study of cutaneous manifestations in diabetes mellitus patients in tertiary care centre

Kirankanth Vudayana, K. Sudheer, Dilipchandra Chintada


Background: Diabetes is the most common metabolic disorder with increased prevalence in developing countries like India. It affects almost all organs among which skin is affected by the acute metabolic derangments as well as by chronic degenerative complications. The aims were to study the pattern of cutaneous lesions in patients with diabetes mellitus and to determine the incidence of skin manifestations specific to and associated with diabetics.

Methods: Hundred cases of diabetes mellitus with cutaneous manifestations attending skin outpatient department and other patients admitted in medical wards were included in the study.

Results: The common skin disorders were cutaneous manifestations (67%), dermatosis more commonly associated with diabetes (36%), neuropathic and ischemic diabetic skin disease (11%).

Conclusions: Most common cutaneous manifestation was cutaneous infections followed by dermatosis more commonly associated with diabetes. Among cutaneous infections fungal infections were more common followed by bacterial infections. Cutaneous infections were more common in patients with poor glycaemic control and the association was found to be statistically significant.


Diabetes, Cutaneous infections, Dermatosis

Full Text:



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.

Sicree R, Shaw J, Zimmet P. Diabetes and impaired glucose tolerance. In: Gan D, ed. Diabetes atlas. International diabetes federation. 3rd ed. Belgium: International Diabetes Federation; 2006: 15-103.

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.

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

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.

Verma GC, Jain SC, Shantanuvyas, Saluja M, Nyati A, Nehara HR, et al. Prevalence of Cutaneous Manifestations of Diabetes Mellitus. IOSR J Dent Med Sci. 2013;11(6):41-7.

Goyal A, Raina S, Kaushal SS, Mahajan V, Sharma NL. pattern of cutaneous manifestations in diabetes mellitus. Indian J Dermatol. 2010;55(1):39–41.

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.

Vahora R, Thakkar S, Marfatia Y. Skin, a mirror reflecting diabetes mellitus: A longitudinal study in a tertiary care hospital in Gujarat Indian J Endocrinol Metab. 2013;17(4):659–64.

Nigam PK, Pande S. Pattern of dermatoses in diabetics Indian J Dermatol. 2003;69(2):83-5.

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

Ahmed K, Muhammad Z, Qayum I. Prevalence of cutaneous manifestations of diabetes mellitus. J Ayub Med Coll Abbottabad. 2009;21(2):76-9.

Wani MA, Hassan I, Bhat MH, Ahmed QM. Cutaneous Manifestations of Diabetes mellitus: A Hospital Based Study in Kashmir, India Egyptian Dermatol Online J. 2009;5(5):2.

Bhat YJ, Gupta V, Kudyar RP. Cutaneous manifestations of diabetes mellitus. Int J Diabetes Developing Countries. 2006;26(4):152-5.

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;21:506-9

Al-Mutari N, Zaki A, Sharma KA, Al-Sheltawi M. Cutaneous Manifestations in Diabetes Mellitus. Med Princ Pract. 2006;15:427-30.

Raghu TY, Vinayak V, Kanthraj GR, Girisha BS. Study of cutaneous manifestions Of Diabetes Mellitus. Indian J Dermatol. 2004;49(2):73-5.