Skin manifestations in diabetes mellitus: a clinical study
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Từ khóa

cutaneous manifestation
bacterial infection
fungal infection
diabetic dermopathy biểu hiện ở da
nhiễm khuẩn
nhiễm trùng nấm
bệnh khô da
chứng loạn dưỡng móng
bệnh da liễu tiểu đường

Ngôn ngữ sử dụng

Cách trích dẫn

Nguyen, T. M. L., Pham, T. L., & Nguyen, K. D. V. (2023). Skin manifestations in diabetes mellitus: a clinical study. Vietnam Journal of Diabetes and Endocrinology, (53).

Tóm tắt

Background: Skin diseases are among common injuries in diabetes. Skin changes play a role as an early manifestation as well as a reflection of glucose metabolic control and chronic complication management of diabetes. Objective: To evaluate clinical and laboratory features of diabetic patients with skin manifestations and the relation between common skin diseases and chronic diabetic related characteristics. Patient and method: 109 patients with type 1 and type 2 diabetes having skin injury hospitalized in Diabetic and Endocrinology Department of Bach Mai hospital and National Hospital of Dermatology from August 2019 to August 2020. Result: The prevalence of male and female patients in the study were 52,3% and 47,7% respectively, with the mean age of 60,46 ± 15,27. There were 4,6% patients with DM type 1 and 95,4% with DM type 2, the mean duration of DM was 7,71 ± 7,78 years. The most prevalent cutaneous findings were xerosis (59,6%), bacterial infection (22%), fungal infection (15,6%), onychodystrophy (19,3%), diabetic dermopathy (7,3%). The majority of patients (57,8%) had more than one type of skin injury. Of 109 patients, 33% had nephropathy, 27,5% had retinopathy, 29,8% had neuropathy; the prevalence of stroke, coronary artery disease and peripheral artery disease was 12,8%, 9,2% and 6,4% respectively. There was a statistically significant relationship between some common skin manifestations and duration of diabetes and microvascular complication, however, similar relation had not been found regarding such skin lesions and macrovascular diseases. Conclusion: The most frequent cutaneous manifestation in patients with diabetes were xerosis,   bacterial   infection,   fungal infection, onychodystrophy and diabetic dermopathy. Skin disorders may hint the existence of microvascular complication of diabetes.
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