Dermatological Issues in a Child with Diabetes Mellitus
It is now a well-recognized fact that diabetes mellitus (DM) is associated with cutaneous manifestations1-4. Cutaneous manifestations in DM are estimated to occur at a frequency of at least 30% to 70%, but with increasing awareness of the various cutaneous manifestations of DM, it may even approach almost 100%4. The spectrum of skin diseases in DM are numerous and diverse. These conditions can range from benign conditions to life threatening conditions with bad consequences. Some are pathognomonic for DM; yet some are weakly associated with diabetes. Others are a result of the complications or treatment of DM. Sometimes the skin condition may precede the diagnosis of DM, but most often appear after the diagnosis of DM. Regardless of all of these, it is important for the clinician to recognize the cutaneous manifestations of DM so that treatment and /or prevention can be instituted appropriately. This chapter will address the dermatological issues that can present in a child with diabetes. Table 1 is an outline of the major skin disorders associated with DM in children and adolescents.
KeywordsCutaneous Manifestation Acanthosis Nigricans Granuloma Annulare Pediatric Diabetes Insulin Allergy
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