Screening of diabetes mellitus in patients at risk in dermatology outpatient department

Kanishka Kaul
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Abstract

Background: Type 2 diabetes mellitus (T2DM) is a widely spread multidisciplinary condition that requires the attention of many different disciplines; yet, the involvement of dermatologists in this regard has not been recognized. The current study focused on the role of dermatologists in screening the prevalence and pattern of cutaneous manifestations in diabetic and pre-diabetic patients. Methods: A randomized study was carried out from April 2023 to October 2023 in the department of dermatology at SSB Heart and Multispecialty Hospital in Faridabad, Haryana. In the current study, patients with dermatological problems suspected of diabetes mellitus were enrolled. Dermatological problems such acanthosis nigricans, dermatophyte infections, psoriasis, endogenous eczema, chronic urticaria, generalized pruritus, lichen simplex chronicus, patients older than 40, and coexisting conditions like obesity were focused in this study. Results: This study enrolled a total of 100 patients. Only 37 patients were recognized as having a high risk of diabetes, with 67.57% having a verified history of the disease. Furthermore, 32% of T2DM patients were examined for specific skin symptoms during their initial visits, with 4 individuals being found to have generalized pruritus and dermatophyte infection. Conclusions: This study finally concluded that dermatologists may play a crucial role in fighting the T2DM epidemic by early detection of T2DM and treatment initiation which may reduce the risk of serious complications.
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皮肤科门诊高危患者的糖尿病筛查
背景:2 型糖尿病(T2DM)是一种广泛传播的多学科疾病,需要许多不同学科的关注;然而,皮肤科医生在这方面的参与尚未得到认可。本研究重点关注皮肤科医生在筛查糖尿病患者和糖尿病前期患者皮肤表现的患病率和模式方面的作用:哈里亚纳邦法里达巴德 SSB 心脏和多专科医院皮肤科于 2023 年 4 月至 2023 年 10 月开展了一项随机研究。本研究招募了疑似糖尿病的皮肤病患者。本研究重点关注的皮肤病包括黑棘皮病、皮癣菌感染、银屑病、内源性湿疹、慢性荨麻疹、全身瘙痒症、慢性单纯性苔藓、40 岁以上患者以及肥胖等并存病症:本研究共招募了 100 名患者。只有 37 名患者被认定为糖尿病高危人群,其中 67.57% 的患者有确诊病史。此外,32%的 T2DM 患者在初次就诊时接受了特定皮肤症状的检查,其中 4 人被发现患有全身性瘙痒症和皮癣菌感染:这项研究最后得出结论:皮肤科医生在抗击 T2DM 流行病方面可以发挥关键作用,他们可以及早发现 T2DM 并开始治疗,从而降低出现严重并发症的风险。
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