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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 11
Mucocutaneous Manifestations among Indian Type 2 Diabetes Subject: A Longitudinal Study in a Tertiary Care Hospital in Darbhanga
Sachida Nand Sachit
Published: Nov. 30, 2019 | 38 48
DOI: 10.36347/sjams.2019.v07i11.071
Pages: 3836-3838
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Abstract
Aim: Mucocutaneous manifestations in Type 2 Diabetes Mellitus (T2DM) is the most common phenomenon. The main aim and objective of this trial is to assess the mucocutaneous manifestations in T2DM subjects who attained a tertiary care hospital in Darbhanga and also its major role towards diagnosing the metabolic endocrine disorder and its complications. Methods: This is an observational and longitudinal study where 350 patients having diabetes with skin complaints and admitted in wards or attending skin outdoor department in a tertiary care hospital situated at Darbhanga, had been studied. Clinical examination, Detailed history and relevant investigations were done to diagnose the mucocutaneous disorders, type 2 diabetes, and diabetes related complications. After taking informed consent Pre-designed and pretested proforma was filled. Weekly follow-up was done to all patients till satisfactory improvement was achieved. The data was collected in a computer and analysis was done through a statistical software. Result: Majority of cases having with demographic profile in more than 40 years of age and preponderance of male and female was almost equal. 21.67% cases having presenting feature of diabetes were also present with Mucocutaneous manifestations. Maximum of 119 (39.66%) cases Infections were most common, followed by 46 (15.33%) cases with acanthosis nigricans. 160 (53.3%) patients were also associated with diabetic complications like hyperlipidaemia, retinopathy, coronary artery disease, hypertension, nephropathy, neuropathy and diabetic ketoacidosis. Conclusions: Along with other severe disease even in T2DM internal disease was reflected by skin which also worked as reflecting mirror. Through cutaneous manifestations of T2DM awareness, dermatologist is not only capable of detecting diabetes but also in a position to diagnose, prevent further complication f T2DM.