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Published on: October 23, 2020
The eye and the skin in endocrine metabolic diseases
Julio A Urrets-Zavalía1, Evangelina Espósito1, Iliana Garay2
1Department of Ophthalmology, University Clinic Reina Fabiola, Catholic University of Córdoba, Argentina.
Abstract:
The eye and skin may offer critical clues to the diagnosis of a varied spectrum of metabolic diseases from endocrine origin and their different stages of severity, such as diabetes mellitus and Graves disease. On the other hand, such entities may compromise the eye and visual function severely, and awareness of these possible associations is an important step in their diagnosis and management. A large number of less common endocrine diseases may also have significant ocular/visual or skin involvement. Often the etiologic relationship between the endocrine metabolic disease and the ocular compromise is unknown, but diverse pathogenetic mechanisms may act through a common pathologic pathway producing ocular damage, as occur in diabetic retinopathy. This review emphasizes the ocular and skin manifestations of different metabolic diseases of endocrine origin.
Insights
Eye and skin changes can signal endocrine metabolic diseases like diabetes and Graves disease. Recognizing these links is vital for diagnosis and managing potential vision loss.
Area of Science:
- Endocrinology
- Ophthalmology
- Dermatology
Background:
- Metabolic diseases of endocrine origin, such as diabetes mellitus and Graves disease, can manifest with significant ocular and skin changes.
- These manifestations may indicate disease severity and progression, impacting visual function and requiring prompt clinical attention.
- The interplay between endocrine disorders and their dermatologic/ophthalmologic sequelae is complex and not always fully understood.
Purpose of the Study:
- To review the ocular and skin manifestations associated with various metabolic diseases of endocrine origin.
- To highlight the diagnostic and management implications of these cutaneous and visual signs.
- To explore potential pathogenetic mechanisms linking endocrine diseases to ocular damage.
Main Methods:
- Literature review of studies focusing on endocrine diseases with ocular and skin involvement.
- Analysis of clinical presentations and diagnostic criteria for selected conditions.
- Discussion of pathogenetic pathways contributing to ocular complications.
Main Results:
- Ocular and skin findings are common in endocrine metabolic diseases, serving as diagnostic clues.
- Conditions like diabetes mellitus and Graves disease present with characteristic eye and skin symptoms.
- Diabetic retinopathy exemplifies how metabolic dysregulation can lead to severe ocular damage through shared pathways.
Conclusions:
- Awareness of ocular and skin manifestations is crucial for the early diagnosis and effective management of endocrine metabolic diseases.
- These signs can provide critical insights into disease stage and severity, guiding therapeutic strategies.
- Further research into pathogenetic mechanisms may reveal novel therapeutic targets for preventing ocular complications.
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