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Skin Involvement in Paediatric Patients with Type 1 Diabetes
Stefano Passanisi1, Giuseppina Salzano1, Fortunato Lombardo1
1Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy.
Insights
Skin issues are common in children with type 1 diabetes, including lipodystrophies and dermatitis. Early recognition and management of these skin disorders are crucial for patient care.
Area of Science:
- Pediatric Endocrinology
- Dermatology
- Metabolic Disorders
Background:
- Skin involvement is frequently overlooked in managing pediatric patients with type 1 diabetes.
- Dermatological side effects are common in children and adolescents with diabetes.
Purpose of the Study:
- To highlight the significance of skin assessment in pediatric type 1 diabetes management.
- To review common and associated skin disorders in this population.
Main Methods:
- Comprehensive literature search of the PubMed database.
- Keywords used: "children," "pediatric/paediatric patients," "skin," "skin disorders," "type 1 diabetes."
Main Results:
- Common skin reactions include insulin-induced lipodystrophies and allergic contact dermatitis from devices.
- Diabetes-associated skin diseases like necrobiosis lipoidica, granuloma annulare, vitiligo, and bullosis diabeticorum can be present.
- Non-invasive assessment of skin advanced glycation end-products may predict chronic complications.
Conclusions:
- Pediatric diabetes specialists must prioritize skin evaluation for early detection and treatment of skin disorders.
- Monitoring skin health is integral to comprehensive care for pediatric type 1 diabetes patients.
- Advanced glycation end-product measurement offers potential for early risk assessment of complications.
Abstract:
Skin involvement is an overlooked aspect in the management of paediatric patients with type 1 diabetes. A comprehensive search of published literature using the PubMed database was carried out using the following key terms: "children," "pediatric/paediatric patients," "skin," "skin disorders," "type 1 diabetes." Dermatological side effects are frequently observed among diabetic children and adolescents. Insulin-induced lipodystrophies and allergic contact dermatitis caused by insulin pumps or glycaemic sensors are the most common skin reactions in these patients. Furthermore, several diabetes-associated skin diseases such as necrobiosis lipoidica, granuloma annulare, vitiligo, and bullosis diabeticorum may already be present in paediatric patients. Paediatric diabetes specialists should pay attention to their patients' skin to recognize these disorders, identify the potential causes, and choose the most suitable treatment. Finally, the evaluation of skin concentrations of advanced glycation end-products using non-invasive diagnostic techniques may be used to assess the risk of chronic complications of diabetes as early as adolescence.
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