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.

Current Diabetes Reviews
|September 3, 2021
PubMed

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.

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