Original scientific paper
Skin changes in patients with diabetes mellitus in Karlovac county
Hrvoje Cvitanović
orcid.org/0000-0001-5599-9905
; Služba za kožne i spolne bolesti, Opća bolnica Karlovac, Hrvatska
Ervin Jančić
; Služba za neurologiju, Opća bolnica Karlovac, Hrvatska
Eva Knežević
; Služba za kožne i spolne bolesti, Opća bolnica Karlovac, Hrvatska
Ilko Kuljanac
; Služba za kožne i spolne bolesti, Opća bolnica Karlovac, Hrvatska
Abstract
Aim: To invastigate the proportion of skin diseases in specific population of patients
with diabetes mellitus (DM) with special regards to skin changes associated with diabetes.
We also analyzed the proportion of dermatoses in four main groups of skin diseases associated with diabetes and distribution according to sex and type of diabetes. Results: In diabetic outpatient clinic during the year 2007 there were 754 patients diagnosed with diabetes.
Skin changes were present in 113 (17,37%) of 754 patients, changes associated with diabetes in 84 (55,24%) patients and skin disease not associated with diabetes in 47 (44,76%) patients. According to different types of diabetes 21 (16,03%) patients had insulin dependent DM and 110 (83,97%) patients had non-insulin dependent DM. The first group of skin disease more or less associated with diabtes mellitus was the most common in 58 patients
(69,06%). In this group diabetic dermopathy was the most common (27 patients or 32,14%). The second group were skin infections asscociated with diabtes mellitus and were found in 13 patients (16,47%). The most common was mycosis in 8 (9,52%) patients. Third group represented diabetic complications, was found in 11 patients (13,10%) and the most common changes were ulcers in 4 (4,76%) patients and xerosis cutis in 4 (4,76%) patients. Allergic and other reactions on antidiabetic medications were recorded in only 2 patients (2,38%). Discussion and conclusion: Our results are similar to results from other studies from developed countries where non-infectuous dermatoses are highly prevalent in diabetic patients. Early detection and therapy of high glucose level and also skin changes are of great interest for the patient’s benefit. Skin manifestations present in diabetic patients are very common and easy visible so it is very important to be able to recognize specific dermatoses associated with diabetes and to treat them with close cooperation of dermatologist and diabetologist in multidisciplinary and team approach.
Keywords
dermopathia diabetica; diabetes mellitus; skin alterations
Hrčak ID:
45857
URI
Publication date:
1.12.2009.
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