Diabetes mellitus - skin manifestations
- 18 Jul 00:45
- Disease Of The Skin
Diabetes mellitus is a common disease manifested by carbohydrate, fluid, fat and protein metabolism disorders. The development of diabetes is due to insufficiency of insulin production.
The result of insulin imbalances is an elevated glucose content in allbiological fluids in the body.
Diabetes mellitus is characterized by a variety of symptoms, as this disease affects virtually all internal systems of the body.
Important! Almost all patients have skin pathologies. Sometimes the dryness of the skin, itching of obscure etiology, often recurrent and poorly treated for infectious diseases and dermatosis, are the first symptoms of diabetes mellitus.
- 1 Causes of development of
- 2 Classification of skin manifestations
- 2.1 Primary group
- 2.2 Secondary group
- 2.3 Dermatoses caused by the administration of drugs
- 3 Methods of diagnosis
- 4 Treatment of
- 4.1 Treatment of recipes of folk medicine
- 5 Forecast and prevention of
- 6 Photo
Causes of development
Severe metabolic disorders that are inherent in diabetes mellitus lead to pathological changes in most organs and systems, including in the skin.
The cause of skin disease in diabetes mellitus is evident. This is a serious violation of the metabolism and accumulation in the tissues of products improper metabolism. This leads to violations in the dermis, inflammation in the follicles, sweat glands and the epidermis. In addition, there is a decrease in local immunity, which leads to the infection of the skin pathogenic microorganisms.
In case of severe illness, the skin of patients undergoes a general change. It becomes rough, there is peeling like a spiradic keratoderma, elasticity is lost.
Classification of skin manifestations
To date, about three dozen different dermatoses are described in detail - developing skin diseases as precursors of diabetes or against the background of the disease.
Dermatopia is diabetic. Dermatosis is characterized by changes in small blood vessels that are triggered by metabolic disorders. The disease is manifested by the appearance of spots of light brown color, covered with scales of the skin. The spots are rounded and localized, usually on the skin of the legs.
Dermatophyte does not cause any subjective sensations, and its manifestation is often taken for patients with the appearance of pigmental stains on the skin. Special treatment for this dermatosis is not required.
Lipoid necrobiosis. This skin lesion often accompanies the course of diabetes, however, it is the disturbance of the carbohydrate metabolism that causes the development of this dermatosis. Lipoid necrobiosis may for a long time be the only sign of developing diabetes. Necrobiosis develops more often in women, characterized by dermatosis with the appearance of large spots on the skin of the legs. The spots are of a bluish-red color.
Occasionally, along with the spots on the skin, nodular rashes of irregular shapes appear.
With the development of dermatosis, rashes are converted into large plaques with a declining central portion. The center of the plaques acquires a yellow-brown color, the edges remain bluish-red. Gradually, in the center of the plaque, develops an area of atrophy covered with telangiectasia. Sometimes the skin in the area of plaques is covered with ulcers. Until the appearance of ulcers necrobiosis does not cause suffering, during the detection period, pain appears.
Peripheral atherosclerosis. Typical vascular damage on the legs with the formation of atherosclerotic plaques that overlap the blood stream. This leads to a disruption of normal skin nutrition. In patients, the skin of the legs becomes dry, the skin thins. In this dermatosis there is an extremely bad healing morning on the skin, even minor scratches can turn into unhealed wounds. Patients are disturbed by the pain in the calf muscles, which occurs when the load( walking) and goes calmly.
Blisters diabetic. On the skin of the back, fingers, forearms and shins are formed blistering, the skin looks like a roasted. Often, blisters appear on the skin of people who suffer from diabetic neuropathy. Bubbles will not cause pain and go through 3 weeks without special treatment.
Xantomatosis eruptive manifests itself in the formation of a yellow rash on the skin, the elements of which are surrounded by red corolla. Localized xanthomas on the skin of the back, buttocks, and legs. This type of dermatosis, often develops in patients who, in addition to diabetes, have a high degree of cholesterol content.
Ribbed granuloma. At the same time dermatosis on the skin appears ring-shaped or arcuate rashes. Rashes often occur on the skin of the hands, fingers and feet.
The skin dystrophy is papillary-pigmented. With this dermatosis on the skin of the lateral surfaces of the neck, under the armpits and inguinal folds are brown spots. This dermatosis is mainly diagnosed in people with obesity and cellulitis.
Itchy dermatosis is often a predictor of diabetes mellitus. However, there is no direct relationship between the severity of itching and the severity of metabolic disturbances. On the contrary, it is often sick, in whom diabetes occurs in a latent or milder form, suffering from persistent itching.
In patients with diabetes, fungal dermatosis is commonly developed, and the typical manifestation of diabetes is candidiasis. The disease begins with the onset of severe itching of the skin in the skin folds. Then the characteristic symptoms of candidiasis appear - the appearance of whitish plaque on the macerated skin, and later the formation of skin cracks and manifestations.
Bacterial skin infections in diabetes are observed no less frequently. This can be pyoderma, behaev inflammation, carbuncle, boils, panaritises, phlegmons.
Most commonly, skin bacterial dermatosis is caused by streptococcus or staphylococcus flora.
Dermatosis Caused by
Drug Disease Forced to Accept Drugs. Because of this, various allergic reactions may occur.
Patients who seek a dermatologist with a variety of skin diseases are usually referred for analysis, including sugar analysis. Often it is after a treatment to a dermatologist about dermatosis in patients with diabetes mellitus.
In another diagnosis of dermatoses in diabetes is performed in the same way as with any skin diseases. An external review, instrumental and laboratory studies are conducted. To determine the nature of secondary dermatoses, bacteriological analyzes are carried out, which allow the establishment of infectious agents.
Important! The scheme of treatment of skin manifestations depends on the type of dermatosis. First of all, the therapy is chosen to adjust the metabolic processes, that is, to treat the cause of skin diseases - diabetes.
Primary diabetic dermatosis of special treatment is usually not required. When the condition stabilizes, the symptoms of skin manifestations subsided.
For the treatment of infectious dermatoses, specific therapy using antibacterial or antifungal agents is used.
Treatment of folk medicine recipes
To reduce the likelihood of skin manifestations in diabetes, you can also use the recipes of folk medicine:
Forecast and prevention of
The prediction of dermatoses triggered by diabetes depends on how well the patient's condition can be adjusted and the metabolism can be restored.
Prevention of skin dermatosis is the application of special skin care. It is necessary to use only soft detergents, it is desirable to smell, to use moisturizing creams. For rough skin, apply pumice stone or special saws. It is not necessary to cut off the corn kernels themselves or use folk remedies for their burning.
It is necessary to choose clothes only from natural fabrics, daily change of linen, stockings or socks. Clothing should be selected in size so that nothing is rubbing and squeezing the skin.
In the formation of small wounds, you immediately need to disinfect the skin, but do not stick the wound with a plaster. In the event of any skin rash refer to the dermatologist.