Tropical diabetic hand syndrome: Risk factors in an adult diabetes population

Abbas, Zulfiqarali G.; Lutale, Janet; Gill, Geoffrey; Archibald, Lennox K.

doi:10.1016/s1201-9712(01)90043-8

Cited by 37 publications

(52 citation statements)

References 9 publications

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“…This is linked to the responsibility of women for farming and planting crops in rural areas in Africa (40,41). Reviewing the literature, we found male dominance overall in subject ratio.…”

Section: Discussionmentioning

confidence: 77%

“…The majority of reports related to hand infections in diabetes are from developing countries in the tropical world and it is defined as diabetic hand syndrome with musculoskeletal manifestations such as limited joint mobility, Dupuytren's contracture, and trigger fingers (10,11,(13)(14)(15)17,19,21,24,31,37,40,41). Diabetes and related complications are common in Turkey but only three studies about hand complications related to diabetes from this country were found in the literature (2,6,20).…”

Section: Discussionmentioning

confidence: 99%

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Hand infection in patients with diabetes: a series of 17 cases and a pooled analysis of the literature

2018

Turk J Med Sci

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The aim of this study was to report the clinical characteristics and the treatment outcomes of hand infections in diabetic patients and to review the literature. Materials and methods:The medical records of 17 patients with diabetic hand infections admitted to the Diabetic Foot Care Center of two different clinics from January 2012 to October 2017 were reviewed. To perform the pooled analysis, published series (32 studies) were searched in two international databases (www.scopus.com and www.pubmed.com).Results: Of the 17 patients (mean age 61.7 ± 8.5 years), 8 (47.1%) were female. All cases were type 2 diabetes mellitus. The mean duration of diabetes was 9.0 ± 5.96 years and the mean HbA1c was 7.86 ± 1.88%. There was necrosis in 8 patients (47.1%). The most common causes were injury during saw and hammer use in 5 patients (29.4%) and injury due to inappropriate nail cutting in 3 patients (17.6 %). Nine (52.9%) patients were operated on. No patients underwent any major amputations or died. In 32 publications, 704 patients with diabetic hand infections were found. The average age was 53.43 years (n = 591) and 84.29% of patients (322/382) were found to have type 2 DM. The mean duration of diabetes was 4.12 years (n = 317) and the mean HbA1c was 10.58% (n = 140). The rate of surgical operation was 74.59% (323/433). Conclusion:Diabetic hand injuries often occur when using hand tools such as hammers, saws, and knives, and when cutting nails. It is necessary to use conservative treatment rather than amputation. These patients should consult experienced health care professionals.

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“…This is linked to the responsibility of women for farming and planting crops in rural areas in Africa (40,41). Reviewing the literature, we found male dominance overall in subject ratio.…”

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Hand infection in patients with diabetes: a series of 17 cases and a pooled analysis of the literature

2018

Turk J Med Sci

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“…unaware or even no trauma at all. 2,4,7 Our patient also did not recall any preceding trauma and could, if at all, have been just trivial of which she was unaware.…”

Section: Discussionmentioning

confidence: 82%

“…A significant incidence of diabetic hand infections have been reported in tropical regions, particularly Sub-Saharan Africa and the term coined for such infections has been denoted as tropical diabetic hand syndrome (TDHS). 2,4 TDHS is an aggressive type of hand sepsis that results in significant morbidity and mortality among patients of diabetes in the tropics. 10 TDHS has also been reported among diabetic patients in the Indian subcontinent.…”

Section: Discussionmentioning

confidence: 99%

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Tropical diabetic hand syndrome- a case report with a short review

Naqash

Ahmad²,

Bhat

et al. 2016

Int J Res Med Sci

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Type 2 diabetes mellitus and obesity in sub‐Saharan Africa

Tuei

Maiyoh

2010

Diabetes Metabolism Res

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While communicable diseases such as human immunodeficiency virus/acquired immune deficiency syndrome, malaria, and tuberculosis have continued to pose greater threats to the public health system in sub-Saharan Africa (SSA), it is now apparent that non-communicable diseases such as diabetes mellitus are undoubtedly adding to the multiple burdens the peoples in this region suffer. Type 2 diabetes mellitus (T2DM) is the most common form of diabetes (90-95%), exhibiting an alarming prevalence among peoples of this region. Its main risk factors include obesity, rapid urbanization, physical inactivity, ageing, nutrition transitions, and socioeconomic changes. Patients in sub-Saharan Africa also show manifestations of beta-cell dysfunction and insulin resistance. However, because of strained economic resources and a poor health care system, most of the patients are diagnosed only after they have overt symptoms and complications. Microvascular complications are the most prevalent, but metabolic disorders and acute infections cause significant mortality. The high cost of treatment of T2DM and its comorbidities, the increasing prevalence of its risk factors, and the gaps in health care system necessitate that solutions be planned and implemented urgently. Aggressive actions and positive responses from well-informed governments appear to be needed for the conducive interplay of all forces required to curb the threat of T2DM in sub-Saharan Africa. Despite the varied ethnic and transitional factors and the limited population data on T2DM in sub-Saharan Africa, this review provides an extensive discussion of the literature on the epidemiology, risk factors, pathogenesis, complications, treatment, and care challenges of T2DM in this region.

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Tropical diabetic hand syndrome: Risk factors in an adult diabetes population

Cited by 37 publications

References 9 publications

Hand infection in patients with diabetes: a series of 17 cases and a pooled analysis of the literature

Hand infection in patients with diabetes: a series of 17 cases and a pooled analysis of the literature

Tropical diabetic hand syndrome- a case report with a short review

Type 2 diabetes mellitus and obesity in sub‐Saharan Africa

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