• Khurshid Ahmed
  • Zardad Muhammad
  • Iftikhar Qayum


Background: Diabetes mellitus (DM) is a clinical syndrome characterized by hyperglycaemia due toabsolute or relative insulin deficiency. The aim of this study was to evaluate the frequency of skinmanifestations in patients with diabetes mellitus of this area. This descriptive study was conducted inmedical out patient door of District Headquarter Hospital Battgram from January 2008 to July 2008.Methods: A total of 350 diabetic (types 1 and 2) patients over 15 years of age attending the medical OPDof DHQ Hospital were examined in detail for skin manifestations of the disease. Results: Three hundredand fifty diabetic (type-1 and type-2) patients (193 females and 157 males) enrolled in this study. Meanage of the patients was 54±8.53 years. Duration of diabetes was between 1–12 years; 320 patients hadtype-2 and 30 patients had type-1 diabetes mellitus. Patients with uncontrolled disease were 327 and 23patients showed adequate glycaemic control. Seventy-six percent of patients had cutaneousmanifestations. The skin manifestations observed were: skin infections 30.9%, foot gangrene and ulcers12.9%, pruritus 7.1%, vitiligo 5.7%, yellow skin 4.2%, diabetic dermopathy 4.2%, skin tags 3.7%,acanthosis nigricans 2.9%, eruptive xanthomas 2.6%, necrobiosis lipoidica diabeticorum 1.4%, diabeticbullae 0.6%, and pigmented purpuras in 0.3% patients. Conclusions: Cutaneous manifestations were quitecommon in the diabetics of this area.Keywords: Diabetes mellitus, cutaneous manifestations, IDDM, NIDDM


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