Diabetic feet itch8/27/2023 ![]() Diabetic scleroedema: (SCLEREDEMA DIABETIORUM OF BUSCHKE) Diabetic patients have diffuse and symmetrical edematous edema, sometimes erythematous, appearing mainly on the neck, shoulders, back, possibly spreading to the face. It is caused by end products of increased glycosylation that thicken collagen. This phenomenon occurs in 10 - 50% of patients with diabetes, male ~ female, most often type I diabetes. Skin changes similar to scleroderma but do not cause, touch the skin feels like wax, no skin atrophy, vasodilation, swelling or Raynaud's phenomenon. These symptoms can affect the forearm, arm, and back, are bilaterally symmetrical, and are painless. Skin changes resembling scleroderma: (SCLERODERMA – LIKE SKIN CHANGES) This is thickened and hard skin on the backs of the fingers (sclerodactylia) and the proximal or intervertebral joints. Experts believe that fulminant granulomatous granulomas may be the first sign of untreated diabetes, with severe hypertriglyceridemia. Often the lesions occur in waves and can coalesce into a large patch. ![]() Eruptive yellow granuloma (ERUPTIVE XANTHOMAS) Eruptive granulomatous granuloma is redish yellow papules, 1-4 mm in size. The researchers suggested that in people with multiple pedunculated pustules, there is an increased risk of diabetes due to impaired carbohydrate metabolism. This condition usually occurs around the neck or in the large folds of the elderly, some patients with diabetes develop benign nodules with skin stalks associated with acanthosis nigricans. Condition of pustules with skin stalks: (SKIN TAGS – ACROCHORDONS) These are benign tumors, with skin stalks. The pathogenesis is that hyperinsulinemia can activate insulin growth factor (IGF-1) receptors on keratinocytes leading to epidermal growth. This symptom is very common, especially in people with type A insulin-resistant diabetes, with the addition of obesity, a factor in the metabolic syndrome. Acanthosis nigricans: (ACANTHOSIS NIGRICANS) On the surface of folds such as: neck, armpits, groin, navel, areola, under breasts, elbows, etc., there is a phenomenon of velvety smooth skin, thickening and hyperpigmentation. May be due to microvascular disease, adhesion lesions of the stratum corneum, increased glycosylation, and accelerated skin aging. Diabetic foot skin itching: (ACQUIRED ICHTHYOSIFORM CHANGES OF THE SHIN) This is one of the most common skin manifestations in patients with diabetes, especially This condition occurs in 50% of young patients with insulin-dependent diabetes, of unknown etiology. Meanwhile, they appear later in patients with non-insulin-dependent diabetes or in those with non-insulin dependent diabetes. Patients with insulin-dependent diabetes can develop fat necrosis lesions very early, averaging at 22 years of age. The etiology of the disease is unknown but may be due to inflammation of the small blood vessels in diabetes. Diabetic vascular disease complications can occur in diabetic patients with skin lesions due to specific microvascular disease, such as: retinopathy, neuropathy, nephropathy.ĭiabetic Fat Necrosis: (NECROBIOSIS LIPOIDICA) Diabetic fat necrosis occurs in about 1% of diabetic patients, >70% of patients are female. Lesions often appear: lower legs, sometimes on thighs, arms. This is small vessel disease, is the most common skin sign of diabetes and is common in more than 50% of patients with diabetes, occurs in men twice as often as women. Diabetic skin disease: (DIABETIC DERMOPATHY) Diabetic skin lesions cause reddish brown skin color. ![]() Ulcers can occur in pressure points in the feet, even causing infection and gangrene complications. Peripheral vasculitis (60-70%), anemia due to peripheral vasculitis leads to anemia (15-20%) or both. The following are some of the skin manifestations associated with diabetes: Diabetic foot (DIABETIC FOOD) A condition in which the feet have ulcers as a result of diabetes combined with neuropathy. During the chronic course of the disease, about 30-70% of patients with diabetes have skin manifestations. Skin manifestations can help detect diabetes while diabetes can also aggravate skin conditions. Recognizing the possible risk factors for abnormalities in carbohydrate metabolism will help diagnose diabetes early and prevent complications. Many patients only get a definitive diagnosis of diabetes when the aforementioned internal organs are damaged. The organs that can be damaged by diabetes are the heart, kidneys, nervous system, eyes, and skin. Disturbed insulin hormone and elevated blood sugar levels in diabetics lead to metabolic, vascular, neurological, and immune abnormalities. ![]()
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