A Cross Sectional Study to Evaluate Cutaneous Manifestations in Diabetic Patients and their Correlation with Sugar Control at Tertiary Care Center in Western Maharashtra
DOI:
https://doi.org/10.46858/vimshsj.8304Keywords:
Diabetes, Cutaneous Manifestations, Sugar Control, HbA1cAbstract
Introduction: Diabetes is a leading chronic disease in world and number of cases are significantly increasing each year in India also. Out of many associated conditions, skin involvement in diabetes also needs to be evaluated. We conducted this study to study relation between the sugar control and skin manifestations in diabetic patients. Methodology: We studied total 100 diabetic patients visiting our dermatology OPD over a period of 1 year from January to December 2020. All skin diseases in diabetic patients were studied. We studied association of these diseases with sugar control in our study participants. Results: Mean age of our study participants was 63.48 ± 18.12 years, Majority of the males were from the age group of 61 and above, 34 (62.96%) while majority of the females were from the age group of 41-60 years 25 (54.35%). Majority of the patients had diabetes for 5-10 years (52%) followed by more than 10 years (36%) and less than 5 years in 24% cases. Out of 100 participants, 44% had controlled diabetes while rest 56% had uncontrolled diabetes with HbA1c > 6. We observed a significant difference in skin manifestations of controlled and uncontrolled sugars in diabetic patients. (p = 0.007). Conclusion: From this study, we conclude that the skin is involved in diabetes quite often. Early diagnosis and treatment of skin manifestations in diabetic patients is important to reduce unwanted morbidity and further complications in the diabetic patients.
Downloads
References
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 May 1;27(5):1047-53.
Sicree R. Diabetes and impaired glucose tolerance. Diabetes atlas. 2006:15-09.
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 Apr 1;21(4):506-9.
Bhat YJ, Gupta V, Kudyar RP. Cutaneous manifestations of diabetes mellitus. Int J Diab Dev Ctries. 2006 Dec;26(4):153.
Goyal A, Raina S, Kaushal SS, Mahajan V, Sharma NL. Pattern of cutaneous manifestations in diabetes mellitus. Indian journal of dermatology. 2010 Jan;55(1):39.
Paron NG, Lambert PW. Cutaneous manifestations of diabetes mellitus. Primary care. 2000 Jun 1;27(2):371-83.
Kalus AA, Chien AJ, Olerud JE. Diabetes mellitus and other endocrine diseases. Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ. Fitzpatrick’s Dermatology in General Medicine. 7th edn. New York: McGraw Hill. 2008:1461-84.
Romano G, Moretti G, Di Benedetto A, Giofre C, Di Cesare E, Russo G, Califano L, Cucinotta D. Skin lesions in diabetes mellitus: prevalence and clinical correlations. Diabetes research and clinical practice. 1998 Feb 1;39(2):101-6.
Mahajan S, Koranne RV, Sharma SK. Cutaneous manifestation of diabetes mellitus. Indian journal of dermatology, venereology and leprology. 2003 Mar 1;69(2):105-8.
Nigam PK, Pande S. Pattern of dermatoses in diabetics. Indian journal of dermatology, venereology and leprology. 2003 Mar 1;69(2):83-5.
Timshina DK, Thappa DM, Agrawal A. A clinical study of dermatoses in diabetes to establish its markers. Indian journal of dermatology. 2012 Jan;57(1):20.
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 journal of endocrinology and metabolism. 2014 Mar;18(2):217.
Ghosh K, Das K, Ghosh S, Chakraborty S, Jatua SK, Bhattacharya A, Ghosh M. Prevalence of skin changes in diabetes mellitus and its correlation with internal diseases: A single center observational study. Indian journal of dermatology. 2015 Sep;60(5):465.
Vahora R, Thakkar S, Marfatia Y. Skin, a mirror reflecting diabetes mellitus: A longitudinal study in a tertiary care hospital in Gujarat. Indian journal of endocrinology and metabolism. 2013 Jul;17(4):659.
Sibbald RG, Schacter RK. The skin and diabetes mellitus. International journal of dermatology. 1984 Oct;23(9):567-84.
Ragunatha S, Anitha B, Inamadar AC, Palit A, Devarmani SS. Cutaneous disorders in 500 diabetic patients attending diabetic clinic. Indian journal of dermatology. 2011 Mar;56(2):160.
Gupta SK, Singh P. Pattern of dermatological diseases in patients of diabetes mellitus. Journal of Pakistan Association of Dermatology. 2017 Mar 29;26(3):214-8.
Nayak KR, Daly RG. Eruptive xanthomas associated with hypertriglyceridemia and new-onset diabetes mellitus. New England Journal of Medicine. 2004 Mar 18;350(12):1235-.
Oumeish OY. Skin disorders in patients with diabetes. Clinics in dermatology. 2008 May 1;26(3):235-42.
Herman PS. Scabies and bullae. JAMA. 1975 Mar 17;231(11):1134-38.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Dr. Ashutosh Chate, Dr. Amrut Swami, Dr. Vishal Indurkar, Ms. Sakshi Rane
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.