|
|
|
|
|
|
|
Acta
Medica Medianae
Contact:
|
SKIN CHANGES IN INSULIN-DEPENDENT DIABETICS
Ljiljana Nikolic and Mirjana Paravina
Clinic of dermatovenerology, Clinical Center, Niš
Changes on skin and visible mucous membrane in Diabetes mellitus can be found in
25%, 30% and even 70% of diabetic patients. Our research Included 101
insulin-dependent diabetics, of which 38 (37.6%) had cutaneous changes. Fungal
infections (Onychomycosis, Tinea interdigitalis manuum, Balanitis
candidomycetica and Vulvovaginitis candidomycetica) are diagnosed in 18.4% of
diabetics, and bacterial infections (Flegmona pedis, Furunculosis) in 5.3% of
diabetics. The dermatosis that are connected to metabolic disorders or chronic
degenerative complications in Diabetes mellitus are confirmed by pathological
research: Dermatopathia diabetica (23,7%), Xanthelasma palpebrarum (2,6%),
Bullosis idiopathica diabeticorum (2,6%), Malum perforans (5,3%), Gangrena
digitorum pedis (5,3%), Necrobiosis lipoidica (5,3%), Granuloma annulare (2,6%).
The diagnosis of these dermatoses by dermatologists, along with the analysis of
biochemical parameters, can contribute the revelation of disordered glucose
metabolism on time, and also the prevention of complications that follow
Diabetes mellitus. Acta Medica Medianae 2004; 43(2): 47‡52. |