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Prevalence of non-infectious cutaneous manifestations specific to type 2 diabetes in the primary care sector. Importance of their screening in general practice Volume 14, issue 9, Novembre 2018

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Authors
1 Centre Hospitalo-Universitaire, Service de médecine vasculaire, Caen, 14000, France
2 Centre Hospitalo-Universitaire, Service de médecine et explorations vasculaires, Nîmes, 30000, France
3 Cabinet de médecine générale, York, YO1, Grande-Bretagne
4 Cabinet de médecine générale, 66650 Banyuls sur Mer, France
* Tirés à part

Although type 2 diabetes mellitus is a global public health problem, the associated dermatological (non-infectious) manifestations of diabetes remain poorly understood and under diagnosed. We conducted a prospective study to study the prevalence of these dermatological disorders in a cohort of ambulatory diabetic patients in general practice. In addition, we investigated the link between these diabetic manifestations and vascular complications. 213 diabetic patients were included over a period of 3 months. Within this study group we found the following prevalences: Diabetic dermopathy (shin spots) (17.4%), Huntley's papules (8.5%), necrobiosis lipoidica diabeticorum (2.8%), acanthosis nigricans (2.3%), stiff hand syndrome (diabetic cheiroarthropathy) (1.9%), Scleredema adultorum of Buschke (1.4%) and bullosis diabeticorum (1.4%). Compared with secondary care data, these prevalences from primary care seem comparable. They don’t seem to be dependent on the level of diabetic control or length of time of being diabetic.

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