Endocrinology Book

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Diabetic Dermopathy

Aka: Diabetic Dermopathy, Skin Spots
  1. See Also
    1. Skin Conditions in Diabetes Mellitus
    2. Acanthosis Nigricans
    3. Necrobiosis Lipoidica diabeticorum
    4. Granuloma Annulare
    5. Diabetic Ulcer
    6. Diabetes Mellitus
    7. Type I Diabetes Mellitus
    8. Type II Diabetes Mellitus
    9. Insulin Resistance Syndrome
    10. Glucose Metabolism
    11. Diabetes Mellitus Education
    12. Diabetes Mellitus Complications
    13. Diabetic Ketoacidosis
    14. Hyperosmolar Hyperglycemic State
    15. Diabetes Mellitus Control in Hospital
    16. Diabetes Mellitus Glucose Management
    17. Hypertension in Diabetes Mellitus
    18. Hyperlipidemia in Diabetes Mellitus
    19. Diabetic Retinopathy
    20. Diabetic Nephropathy
    21. Diabetic Neuropathy
  2. Epidemiology
    1. Most common skin finding in Diabetes Mellitus
      1. More common if comorbid Diabetic Neuropathy
    2. More common in men
  3. Pathophysiology
    1. Skin Hyperpigmentation due to hemosiderin deposition
    2. May be associated with Trauma
  4. Symptoms
    1. None
  5. Signs
    1. Round hyperpigmented areas
      1. Initial: flat-topped, red and scaly Papules
      2. Later: Depressed below skin level
    2. Distribution
      1. Bilateral shins (most common)
      2. Forearms
      3. Anterior thighs
      4. Lateral feet
  6. Course
    1. Heal spontaneously
    2. May leave preciously involved skin with altered pigment
  7. References
    1. Habif (1996) Dermatology, p. 624
    2. Marx (2002) Rosen's Emergency Medicine, 1759-60

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