With the aim to assess the prevalence
and the main clinical correlations of skin
lesions in diabetes mellitus, 457 diabetic subjects consecutively attending an outpatient clinic underwent a dermatological examination. Neurovascular foot lesions were excluded. Thirty-five of 64 IDDM patients (54%) had skin
alterations mainly consisting of vitiligo (9% of all patients), psoriasis
(9%) and eczema (8%). The most frequent skin
lesions observed in 240/393 NIDDM subjects (61%) were represented by infections (20% of all patients) and diabetic dermopathy (12.5%), while other lesions were not common. NIDDM patients with skin
infections had a worse metabolic control, and those with diabetic dermopathy had a greater prevalence
and large vessel disease than patients without skin
lesions. These data show that the prevalence
diseases in a large, unselected diabetic population is higher than expected and indicate that, in most cases, a careful dermatological examination and a better metabolic control are needed in order to improve quality of life in these patients.
Author(s): Diris N, ColombM, Leymarie F, Durlach V, Caron J, et al.