A Tertiary Care Hospital-based Study of Various Skin Manifestations in Diabetes Mellitus Patients: Skin as a Clinical Marker of Diabetes Mellitus

Gupta, Purshottam L; Singh, Kaman; Devpura, Ganpat

doi:10.5005/jp-journals-10057-0142

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…It was observed that, out of 80 patients, 52 (65.0%) were aged between 41-60 years, 15 (18.8%) were aged between 60-80 years, 13 (16.2%) were aged below 40 years. This is in agreement with the study by Gupta et al 12 reported the majority of patients were in the age group of 40-60 years (32%), Mahajan et al, 13 Nigam and Pande, 14 and Nawaf et al 15 The skin manifestations increase with age, duration, as well as the level of blood sugar control and severity of DM. Majority of the patients 52 (65%) were female and 28(35%) were male in our study.…”

Section: Results: Table-i: Sociodemographic Characteristics Of the St...supporting

confidence: 90%

“…Maximum (61.3%) patients came from rural area and 38.8% patients from urban area. Gupta et al 12 reported out of 200 patients, 73% of the patients belonged to a rural background while 27% were from an urban background which coincides this study. The maximum no.…”

Section: Results: Table-i: Sociodemographic Characteristics Of the St...supporting

confidence: 88%

“…In the present study, 46(57.5%) were housewives and 16(20.0%) were service holders. Study of Gupta et al 12 and our study results almost same. The mean duration of diabetes mellitus was 6.6±5.1 years, maximum (42.5%) patients duration 5-10 years followed by 36.3% below 5 years and 21.3% patients had duration of DM more than 10 years.…”

Section: Results: Table-i: Sociodemographic Characteristics Of the St...supporting

confidence: 86%

“…Majority of the patients 52 (65%) were female and 28(35%) were male in our study. Gupta et al 12 reported males (55%) outnumbered females (45%). Al Mutairi, 16 Mahajan et al, 13 and Bhat et al 17 reported a higher incidence of dermatological manifestations in female diabetic patients, which supports this study.…”

Section: Results: Table-i: Sociodemographic Characteristics Of the St...mentioning

confidence: 95%

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Demographic Study of Dermatological Manifestations of DM Patients Attending in a Medical College Hospital

2022

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Introduction: Diabetes mellitus (DM) is a common metabolic disorder and is significant for its ability to adverse effect of various organs. Skin manifestations in this condition are due to metabolic derangements, chronic complications and infections, which are commonly observed after developing clinical diabetes mellitus, but may also precede the disease. Aim: The aim of this study was to understand dermatological manifestations in diabetes mellitus relation with demographic parameters. Materials and Methods: It was a hospital based cross sectional study carried out among 80 randomly selected diabetic patients with/without skin lesions. Patients were then asked for their willingness to participate in the study. Skin examination was carried out and skin lesions were identified. All data was recorded in the pre-designed, pre-tested, and semi-structured questionnaire developed for the study. Data was analyzed using SPSS version 26. Frequencies and percentages were calculated for the necessary data. Result: : Mean age of the subjects was 51.0±13.2 years, minimum age 25 and maximum 80 years. It was observed that, out of 80 patients, 52 (65.0%) were aged between 41–60 years. 52 (65%) were female and 28(35%) were male patients. 46(57.5%) were housewives and 16(20.0%) were service holders, 10(12.5%) were farmers and other 8(10%). 41(51.2%) from middle class, 38(47.5%) from lower class and 1(1.3%) were from upper class. 61.2% patients came from rural area and 38.8% patients from urban area. The mean duration of diabetes mellitus was 6.6±5.1 years, 42.5% patients duration had 5-10 years followed by 36.3% below 5 years and 21.3% patients had DM more than 10 years. Out of 80 patients, a total of 39(48.8%) DM patients had skin manifestations and 41(51.2%) had no skin manifestations. Among 39 DM patients with skin disease, 19(48.7%) having a single, while 8(25.5%) had two and 13(30.8%) patients had three or more skin lesions. 22(56.4%) patients found diabetic dermopathy, diabetic foot ulcer 12(30.8%), fungal infections 9(23.1%), bullous lesions 7(17.9%), diabetic foot gangrene 5(12.8%), lypodystrophy 5(12.8%), pruritus 5(12.8%), xerosis 5(12.8%) cases, scleredema 3(7.7%), ichthyosis 2(5.1%) and bacterial infections 2(5.1%). Age, sex, educational level, socioeconomic status, residence found no significant association (p>0.05), but duration of diabetes mellitus was significantly associated with the presence of dermatological manifestations (p=0.001). Conclusion: The spectrum of skin manifestations due to DM in this study population is similar to that in other parts of the world. Diabetic dermopathy, Pruritus and fungal infections are the most common cutaneous manifestations in DM patients. The presence of skin manifestations can highlighten the suspicion for DM enabling early diagnosis and management and thereby can be helpful for preventing complications. Medicine Today 2022 Vol.34(2): 145-149

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Section: Results: Table-i: Sociodemographic Characteristics Of the St...supporting

confidence: 90%

Section: Results: Table-i: Sociodemographic Characteristics Of the St...supporting

confidence: 88%

Section: Results: Table-i: Sociodemographic Characteristics Of the St...supporting

confidence: 86%

Section: Results: Table-i: Sociodemographic Characteristics Of the St...mentioning

confidence: 95%

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Demographic Study of Dermatological Manifestations of DM Patients Attending in a Medical College Hospital

2022

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Dermatological manifestations in diabetes mellitus and its relation with HbA1c levels – An observational study

Karra,

Maheswari,

Atluri

et al. 2024

IJCED

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Diabetes Mellitus is a chronic, metabolic disease characterised by elevated levels of blood glucose, which over time leads to serious damage. The most common is type 2 diabetes which occurs when body becomes resistant to insulin or doesn’t make enough insulin. Skin manifestations are seen generally in pre-diabetes, undiagnosed, long-term and uncontrolled diabetes mellitus. Skin symptoms may help in diagnosing a denovo case and may give an insight into the patient's diabetic status. This is a cross-sectional, observational study conducted in patients attending the outpatient departments of Dermatology, General Medicine and those admitted under these departments over a period of four months. Clearance from Institutional Ethics Committee was taken before the start of the study. A sample population of 100 was selected randomly based on inclusion and exclusion criteria. Glycaemic profiles including HbA1c were done. Infections (35%) were the most common cutaneous symptoms, followed by papulosquamous illnesses (19%), autoimmune diseases (7%), obesity-related (6%), diabetic vasculopathy-related (5%) and miscellaneous conditions (28%), which included generalised pruritus and xerosis etc. The majority of infections were superficial fungal infections, followed by bacterial and viral infections. Dermatophytosis accounted for a majority of superficial fungal infections. Significant correlation was found between higher HbA1c levels and infections, papulo-squamous diseases, auto-immune diseases, obesity-related manifestations.Higher HbA1c levels were found to be significantly associated with a variety of cutaneous symptoms such as infections, papulosquamous illnesses, autoimmune disorders, and obesity-related manifestations.

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A Tertiary Care Hospital-based Study of Various Skin Manifestations in Diabetes Mellitus Patients: Skin as a Clinical Marker of Diabetes Mellitus

Cited by 2 publications

References 11 publications

Demographic Study of Dermatological Manifestations of DM Patients Attending in a Medical College Hospital

Demographic Study of Dermatological Manifestations of DM Patients Attending in a Medical College Hospital

Dermatological manifestations in diabetes mellitus and its relation with HbA1c levels – An observational study

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