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[Rheumatologic manifestations in diabetes].

J Vencovský1

  • 1Revmatologický ustav, Praha. venc@revma.cz

Vnitrni Lekarstvi
|June 15, 2006
PubMed
Summary

Diabetes mellitus can cause various musculoskeletal issues, including hand problems like limited joint mobility and carpal tunnel syndrome, and the severe diabetic foot. Osteopenia is linked to type I diabetes, but not type II.

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Area of Science:

  • Endocrinology
  • Orthopedics
  • Rheumatology

Context:

  • Diabetes mellitus is a prevalent metabolic disorder.
  • Musculoskeletal complications are common in diabetic patients.
  • These complications significantly impact patient mobility and quality of life.

Purpose:

  • To review the spectrum of musculoskeletal complications associated with diabetes mellitus.
  • To highlight common and severe manifestations.
  • To discuss the evidence for associations with bone and joint diseases.

Summary:

  • Patients with diabetes frequently experience hand issues, including limited joint mobility, flexor tendon synovitis, Dupuytren's contracture, and carpal tunnel syndrome.
  • Humeral periarthropathy is more common, and the diabetic foot represents a serious complication leading to deformities and disability.
  • Rare complications include diabetic amyotrophy and muscle infarction. Osteopenia is associated with type I diabetes, but not type II, and the link with osteoarthritis is unproven.

Impact:

  • Provides a comprehensive overview of diabetes-related musculoskeletal conditions.
  • Aids clinicians in recognizing and managing these complications.
  • Informs future research directions for prevention and treatment.

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