Manifestaciones cutáneas de diabetes mellitus

Background: Thirty percent of patients with diabetes mellitus have some skin lesion that is directly related to the disease or caused by infections, complications or treatments used. Aim: To determine the frequency and type of skin lesions in diabetic patients. Material and methods: Cross sectional...

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Autores principales: Fajre,Ximena, Pérez,Lilian, Pardo,Javiera, Dreyse,Jorge, Herane,María Isabel
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2009
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000700005
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Sumario:Background: Thirty percent of patients with diabetes mellitus have some skin lesion that is directly related to the disease or caused by infections, complications or treatments used. Aim: To determine the frequency and type of skin lesions in diabetic patients. Material and methods: Cross sectional examination of 26 patients with type 1 diabetes, 75 patients with type 2 diabetes and 17 patients with gestational diabetes. A complete skin physical examination and a direct mycological examination and culture when Onychomycosis was suspected, were performed. Results: In 56% of patients, diabetes lasted more than 10 years and 52% had some complication of the disease. A mean of 1.4±0.1 skin lesions per patient was found among subjects with type 1 or 2 diabetes. No skin lesion was found in patients with gestational diabetes. The lesions found were Onychomycosis in 27%, diabetic dermatopathy in 17%, macroangiopathy in 15%, tine a corporis in 14% and neurosis in 14%. Conclusions: Onychomycosis is the most commonly found skin lesion in diabetic patient.