DOI: 10.36347/sasjm.2015.v01i03.002

Pages: Page: 73-79

Diabetes mellitus type I(IDDM) is growing up health problem among Sudanese young population. A lot of dermatological diseases are known to occur in diabetic patients may be due to odd metabolism or as a complication of the disease. The aim of the study is to assess the frequency of skin manifestations in children with type I diabetes mellitus. The study recruited 151 IDDM children matched for age with 76 normal children as a control group. Dermatological and general clinical examinations were undertaken for two groups in addition to retinal examination and HbA1c level measurment in the IDDM patients. Patients were seen at Albolok diabetic clinic; heights and weights were measured, age of onset, control and medical history were taken by filling a well formed questionnaire. Xerosis was seen in 35% of IDDM patients (p<0.000004) and 2% of control group. There were 6% of patients developed diabetic hand changes and 5% had retinal changes. The lipohypertrophy, lipoatrophy and hyper pigmentation had high frequencies, 22%, 13%, and 47% respectively. Eczema had seen in 10% of patients while atopic dermatitis was seen in 2% and seborrhic dermatitis in 6.6%. Gluten entropathy and viral warts detected in 2% of patients. Impetigo as folliculitis was seen on 1.3% of cases. The current study showed the high prevalence of xerosis in IDDM that may appear the first changes take place in young IDDM patients and its association with diabetic hands and retinal changes. The relative high frequency of dermatitis may raise the importance of the altered immunological responses in this group. The large group prospective study will help a lot to detect complications in young patients and prospect them in elder ones