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Diabetes mellitus and the skin
E Makrantonaki1,2, D Jiang3, A M Hossini4
1Department of Dermatology and Allergic Diseases, Universitätsklinikum Ulm, Life Science Building N27, James-Franck Ring/Meyerhofstrasse 11c, 89081, Ulm, Germany. evgenia.makrantonaki@uni-ulm.de.
Diabetes significantly impacts skin health, with numerous associated disorders potentially signaling its onset. This review details diabetes-related skin conditions and their underlying mechanisms.
Area of Science:
- Endocrinology
- Dermatology
- Pathophysiology
Background:
- Diabetes mellitus is a global health crisis, causing millions of deaths and affecting over 400 million adults, with projections indicating a significant rise by 2040.
- Hyperglycemia, a hallmark of diabetes, exerts detrimental effects on various systemic organs, including the skin.
- Skin manifestations can serve as early indicators of diabetes, highlighting the skin's role in disease prediction.
Purpose of the Study:
- To elucidate the pathomechanistic effects of diabetes on cutaneous tissues.
- To provide a comprehensive overview of common dermatological conditions linked to diabetes.
Main Methods:
- Literature review and synthesis of existing research on diabetes and skin manifestations.
- Analysis of pathomechanisms linking hyperglycemia to skin pathology.
Main Results:
- Diabetes-induced hyperglycemia alters skin structure and function, leading to impaired wound healing and increased susceptibility to infections.
- Common diabetes-associated skin disorders include diabetic dermopathy, necrobiosis lipoidica, eruptive xanthomas, and infections like candidiasis and bacterial infections.
- Specific skin conditions can serve as clinical markers for diabetes diagnosis and management.
Conclusions:
- Understanding the intricate relationship between diabetes and skin health is crucial for early diagnosis and effective management.
- Dermatological assessment plays a vital role in identifying individuals with undiagnosed diabetes or monitoring complications in diabetic patients.
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