A study on the dermatological manifestations in type 2 diabetes mellitus patients in a tertiary care hospital in a rural setting
Keywords:Diabetes mellitus, Cutaneous manifestations, Infections, RBS levels, HbA1c
Background: Diabetes mellitus is very common metabolic disorder seen in our developing world. Skin is affected by both acute metabolic derangements and the chronic degenerative complications of diabetes. It is suggested that these skin changes may eventually be used as a reflection of the patient’s current as well as the past metabolic status.
Methods: 200 diabetic patients were examined and their various cutaneous manifestations were analysed with parameters like age, sex, type of infection, HbA1c etc.
Results: A total of 200 diabetic patients with cutaneous manifestations were enrolled in our study. Majority were in 6th decade (34.5%) and 7th decade (30%) respectively. Males constituted 66% of the cases with a male to female ratio was 1.89:1 Among the cutaneous infections, out of the 132 cases with cutaneous infections, fungal infections (46%) were most frequent, followed by bacterial infections (16.5%) and viral infections (3.5%).
Conclusions: This study showed demographic, social factors & prevalence of dermatological manifestations in type 2 DM patients. It is suggested that the various skin changes may eventually be used as a reflection of the patient’s current as well as the past metabolic status.
Joshi SR, Parikh RM. India- diabetes capital of the world: now heading towards hypertension. J Assoc Physicians India. 2007;55:323-4.
Wild S, Roglic G, Green A. Global prevalence of diabetes, estimates for the year 2000 and projection for 2030. Diabetes Care. 2004;27:1047–53.
King H, Aubert R. Global burden of diabetes, 1995-2025. Prevalence, numerical estimates and projections. Diabetes Care. 1998;21:1414-31.
Harris MI. Definition and Classifications of DM and the criteria for diagnosis. In: LeRoith D, Taylor SI, Olefsky JM, Editors. Diabetes Mellitus: A Fundamental and Clinical Text. 3rd Edition. Philadelphia: Lippincott Williams & Wilkins; 2004: 457-467.
Lai CF. Cutaneous manifestations in diabetes mellitus. Hong Kong Practitioner. 1992;20:60-6.
Naheed T, Akber N, Akber N, Shehzad M, Jamil Ali T. Skin manifestations amongst diabetic patients admitted in a general medical ward for various other medical problems. Pak J Med Sci. 2012;18(4):291-6.
Bhat YJ, Gupta V, Kudyar RP. Cutaneous manifestations of Diabetes Mellitus. Int J Diab Dev Ctries. 2006;26(4):152-5.
Ahmed K, Muhammad Z, Qayum I. Prevalence of Cutaneous manifestations of Diabetes Mellitus. J Ayub Med Coll Abbottabad. 2009;21(2):76-9.
Farshchian M, Farshchian M, Fereydoonnejad M, Yazdanfar A, Kimyai-Asadi A. Cutaneous manifestations of Diabetes Mellitus: A case series. Cutis. 2010;86:31- 5.
Chatterjee N, Chattopadhyay C, Sengupta N, Das C, Sarma N, Pal SK. Observational study of Cutaneous Manifestations In Diabetes Mellitus in Tertiary Care hospital of Eastern India. Indian J Endocr Metab. 2014;18:217-20.
Verma GC, Jain SC, Vyas S, Saluja M, Nyati A, Nehara HR, et al. Prevalance of Cutaneous Manifestations of dIabetes Mellitus. IOSR JDMS. 2013;11(6):41-7.
Kataria U, Chhillar D, Kumar H, Chhikara P. Cutaneous manifestations of Diabetes mellitus in controlled and uncontrolled state. IAIM. 2015;2(2):90-3.
Yasso FS, Yasso SS, Yasso PS. Skin manifestations of Diabetes Mellitus among Iraqi patients. American J Med Studies. 2013;1(3):32-7.
Avula S, Masthansahib D, Madhavi Latha M. Cutaneous manifestations of Diabetes mellitus: A cross sectional study in a tertiary care hospital. IJOMDAS. 2014;2(3):261-6.
Puri N. A study on the cutaneous manifestations of Diabetes Mellitus. Our Dermatol Online. 2012;2:83-6.
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.
Al-Mutari N, Zaki A, Sharma AK, Al-Mheltawi M. Cutaneous manifestations of Diabetes Mellitus. Med Princ Pract. 2006;15:427-30.
Wani MA, Hassan I, Bhat HM, Ahmed QM. Cutaneous manifestations of Diabetes Mellitus: A hospital based study in KASHMIR, India. Egyptian Dermatol Online J. 2009;5(2:5):1-6.
Baloch GH, Memon NM, Devrajani BR, Iqbal P, Thebo NK. Cutaneous Manifestations of Type 2 Diabetes Mellitus. J Liaquat Uni Med Health Sci. 2008;7(2):67-70.
Netha GNR, Kumar B, Raghupathi Reddy K, Akshay Kumar V, Merugu R, Sambaru K. A study of various cutaneous manifestations in Diabetes Mellitus. Curr Res Med Med Sci. 2014;5(1):6-9.