Diabetic hand syndromes as a clinical and diagnostic tool for diabetes mellitus patients

Al-Matubsi, Hisham Y.; Hamdan, Farqad B.; Al-Hanbali, Othman; Oriquat, Ghaleb A.; Maher, Salim

doi:10.1016/j.diabres.2011.07.012

Cited by 35 publications

(38 citation statements)

References 21 publications

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“…The demographic findings of the current study are consistent with the results found by Cederlunda et al 5. and Al‐Matubsi et al 26,. which showed that poor glucose tolerance influenced the sensibility of hand nerves, and that patients with neuropathy were more likely to have been suffering from a longer disease duration.…”

Section: Discussionsupporting

confidence: 93%

Do we underestimate influences of diabetic mononeuropathy or polyneuropathy on hand functional performance and life quality?

Yang

Hsu

et al. 2017

J of Diabetes Invest

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Aims/IntroductionThe purpose of the present study was to identify whether there are differences in hand dexterity, hand functional performance and quality of life between diabetes patients with mononeuropathy and polyneuropathy of their hands to further present the importance regarding the impacts of diabetic neuropathic deficits on patients’ functional capacity.Materials and MethodsThe neurological deficits of 127 patients with type 2 diabetes were examined by electrophysiological tests for the median and ulnar nerves, and were stratified into the diabetic mononeuropathy, diabetic polyneuropathy and non‐diabetic neuropathy groups by sensory amplitude of these nerves. The Purdue pegboard test, Michigan Hand Outcomes Questionnaire, and Diabetes‐39 were carried out to understand patients’ hand dexterity, functional hand performance and quality of life, respectively.ResultsThe results showed significant differences in all subtests of the Purdue pegboard test among the three groups. Furthermore, aesthetics, patient's satisfaction of the Michigan Hand Outcomes Questionnaire and diabetes control, sexual functioning, energy, and mobility of the Diabetes‐39 also showed significant differences among the three groups.ConclusionsThe present study shows the patients with polyneuropathy suffer from more negative impacts on hand functional performance and quality of life than those with mononeuropathy and without neuropathy. These findings might assist both patients and clinicians in better realizing the impacts of neuropathic hands, and planning suitable strategies of intervention or health education to prevent declines in hand functions.

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Section: Discussionsupporting

confidence: 93%

Do we underestimate influences of diabetic mononeuropathy or polyneuropathy on hand functional performance and life quality?

Yang

Hsu

et al. 2017

J of Diabetes Invest

View full text Add to dashboard Cite

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“…ма «щелкающего пальца»), болезни Дюпюитрена, синдрома ограниченной подвижности суставов, кистевого туннельного синдрома, синдрома замо-роженного плеча и подошвенного фасциита [5,23]. Синдром ограничения подвижности суставов по-лучил название хейропатии, или хейроартропатии (синдрома диабетической руки -cheiroarthropathy) [3,12,20].…”

Section: ключевые слова: хейропатия; сахарный диабет 1-го типа; детиunclassified

Хейропатія У Дітей Із Цукровим Діабетом. Кінезо- І Фізіотерапія

Абатуров¹,

Петренко²,

Логвинов³

et al. 2021

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В настоящее время сахарный диабет (СД) от-носится к заболеваниям с высокой медико-соци-альной значимостью. Ежегодное увеличение ко-личества больных СД на 6-10 % удваивает число пациентов каждые 10-15 лет. Распространенность СД 1-го типа среди детского населения составля-ет 50 случаев на 100 тыс. человек [2]. По данным S. Arlanian (материалы Diabetes Faculty Forum Barselona, 2015), 40 % случаев СД 1-го типа, диагно-стированного у пациентов до 20-летнего возраста, при длительности заболевания менее 10 лет харак-теризуются наличием тяжелых микрососудистых осложнений [1]. Наличие хронических диабетиче-ских осложнений определяет прогноз течения СД у детей, развитие ранней инвалидизации, приводя-щей к ухудшению качества жизни и снижению ее продолжительности.Нередко при СД выявляются нарушения со стороны опорно-двигательной системы в виде патологии ахиллова сухожилия, стенозирующе-го флексорного тендовагинита пальцев (синдро-УДК 616.72:616.379-008.64-08-053.2:615.825/.83 DOI: 10.22141/2224(синдро-УДК 616.72:616.379-008.64-08-053.2:615.825/.83 DOI: 10.22141/ -0551.7.75.2016 Диабетическая хейропатия встречается у 8-50 % больных СД и считается предвестником осложне-ний СД: ретинопатии, нейропатии, нефропатии [6,9]. Данное поражение опорно-двигательной си-стемы отмечается у больных СД как 1-го, так и 2-го типа [19].Патогенез хейропатии до настоящего времени остается неясным. Существует предположение, что в основе развития хейропатии лежит взаимодействие конечных продуктов гликозилирования (advanced glycation end products -AGE) с коллагеном, кото-рое приводит к изменению структуры и биологиче- Для корреспонденции: Абатуров Александр Евгеньевич, доктор медицинских наук, профессор, заведующий кафедрой педиатрии № 1 и медицинской генетики; ГУ «Днепропетровская медицинская академия МЗ Украины», ул. Вернадского, 9, г. Днепр, 49044, Украина;

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“…Bu üç durum tek başına görü-lebileceği gibi , birliktelikte gösterebilmektedir. Kompresyon nöropatisi olan karpal tünel sendromu (KTS) ise % 14-16 prevelansı ile diabetik hastalarda diyabetik olmayan hastalardan daha yaygın görülmektedir (6,11). El, bu komplikasyonların sık görüldüğü bir organdır.…”

Section: Olgu Sunumuunclassified

“…El hareketlerinin ve yapılarının sağlığının bozulmasına neden olabilir. Bu değişiklikler kollajen yapısı ve bileşimindeki değişiklikler ve vasküler iskemik etkileşimler sonrası ortaya çıkmaktadır (6,7,8).…”

Section: Introductionunclassified

A Case With Type 2 Diabetes Mellitus Complicated With Diabetic Hand and Literature Review

Kuzu¹,

Öz²,

Bayraktaroğlu³

2017

Turk J Diab Obes

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Diyabetik el sendromu gelişimi kompleks ve multifaktöriyeldir. Risk faktörleri ve patogenezi diyabetik ayak ile benzerlik göstermektedir. Burada diabetes mellitus tanısı aldıktan yıllar sonra vasküler komplikasyonların oluştuğu, özellikle diyabetik el sendromunun ortaya çıktığı bir olguyu sunmaktayız.Ellidört yaşında kadın hasta, 20 yıl önce tip 2 diyabet tanısı almış ve son 10 yıldır insulin kullanmaktadır. Son zamanlarda sol koldan fistül açılmış. İki ay önce sol elde soğukluk morarma şikâyetleri başlamış. Kaçak nedeniyle fistül kapatılmış. Yaklaşık bir ay önce sol el üçüncü parmağa nekroz nedeniyle ampütasyon yapılmış. Takip eden dönemde sol el üçüncü ve beşinci parmaklarda siyahlaşma ile kan şekerlerinde yükseklik ortaya çıkmış. Yoğun insulin tedavisi ve doz titrasyonu yapılarak kan şekeri kontrolü sağlandı. Almakta olduğu medikal tedavi, uygun hemodiyaliz şartlarında paranteral antibioterapi, analjezi ve maksimum medikasyonla operasyona yönlendirildi.Olgumuzda görüldüğü gibi diyabetik ayak ve "diyabetik el sendromu" tespit edilen olgulara multidisipliner yaklaşımla maksimum tedavi yapılmalıdır. Özellikle tromboembolilere yönelik primer ve sekonder korunma yöntemlerini özenle uygulamayı gerektirmektedir. Anahtar Sözcükler: Diyabetik el, Diabetes mellitus ABSTRACTDevelopment of "diabetic hand syndrome" is complex and multifactorial. Its risk factors and pathogenesis are similar to diabetic foot. We report here a case in which diabetic hand syndrome arises from vascular rare complications, especially.A 54 year-old female patient was diagnosed with type 2 diabetes 20 years ago and has been using insulin for the last 10 years. Lately, a left fistula has been opened. Complaints about the coldness of the left hand started two months ago. The fistula is closed because of the leak. About a month ago, amputation was made due to necrosis of the left hand third finger. In the following period, blackness on the third and fifth fingers of the left hand led to height in blood glucose. Intensive insulin therapy and dose titration were performed to control blood glucose levels. The medical treatment he was receiving was directed to the operation with appropriate parenteral antibiotherapy, analgesia and maximum medications under appropriate hemodialysis conditions.As seen in our case, maximum treatment should be done with multidisciplinary approach to diabetic foot and "diabetic hand syndrome" cases. In particular, primer and sec-ondary prevention methods for thromboembolism require careful application.

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Diabetic hand syndromes as a clinical and diagnostic tool for diabetes mellitus patients

Cited by 35 publications

References 21 publications

Do we underestimate influences of diabetic mononeuropathy or polyneuropathy on hand functional performance and life quality?

Do we underestimate influences of diabetic mononeuropathy or polyneuropathy on hand functional performance and life quality?

Хейропатія У Дітей Із Цукровим Діабетом. Кінезо- І Фізіотерапія

A Case With Type 2 Diabetes Mellitus Complicated With Diabetic Hand and Literature Review

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