Dermatological Manifestations among Diabetic Patients Attending Diabetes Centers in Mosul City Farah Kahtan Mahjoob* FICMS, Asma Ahmad Al Jwadi FICMS, Marwah Imad Al Ameen** CAB.CM
Abstract
Background: Skin manifestation is an important issue involving the rising epidemic of diabetes mellitus as it can precede or complicate the disease.
Objectives: To assess the point prevalence and patterns of skin manifestations in patients with diabetes mellitus attending diabetes centers in Mosul City.
Methods: A cross-sectional study that covered 674 diabetic patients taken from two diabetic centers. A special questionnaire form was prepared using simplified and summarized questions. Data collected from the 11th of December 2011 to the 20th of May 2012.
Results: Statistical analysis of data revealed a point prevalence of 100%. Most of patients had non-insulin dependent diabetes mellitus (66.5%), the mean age of 48±13.76 years. About two thirds of patients (64.7%) had uncontrolled diabetes mellitus with HbA1c of > 6.5% and 61.9% had a duration of 5 to 10 years. Infections represented a highest proportion of skin manifestations among diabetic patients (39.9%) of which fungal infections constituted 59%. Skin manifestations of diabetic complication was the second most common type (22.7%) of which diabetic shin spot represented 52.2%. Skin reaction to diabetic treatment is the third in frequency of occurrence (22.1%); with a highest proportion (23.0%) among insulin dependent diabetes mellitus. The lowest proportion of skin manifestations is that due to skin lesions with strong to weak association (16.3%) of which pruritus represented 43.6%.
Conclusions: Skin manifestations in diabetic patients are common, so to be considered by clinical staff and health educational personnel dealing with diabetic patients
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