Diabetes affects the whole body. A person with diabetes can struggle with many other problems, including skin changes.
Table of contents:
Sclerosing oedema
Sclerosing o edema of the skin is characterised by induration on the neck, arms, face and trunk.
Raynaud's sign, sclerodactyly or organ changes are not noted. The lesions may involve the entire trunk and limbs and are not preceded by infections.
Excessive collagen production
Excessive coll agen production depends on the accumulation of glycosaminoglycans. The lesions persist permanently, regardless of treatment.
Scleromyxoedema
This is a systemic condition characterised by scleroderma-like skin lesions and lichenoid eruptions. The skin becomes thickened and arranged in thick folds. The causes of the disease are unknown. Lichenoid papules are present within the sclerotic lesions and cysts are not uncommon on the face. In some cases there is hand contracture with Raynaud's sign. The course of the disease is chronic and depends on the involvement of internal organs. Treatment consists of intravenous immunoglobulin G. Immunopressors are also effective.
Fat necrosis
Manifests as well-demarcated, infiltrative foci of yellowish hue, with atrophy in the central part. Lesions are most commonly located on the upright surfaces of the lower extremities. The spots have the ability to spread peripherally. Sometimes disintegration occurs, resulting in ulceration. A particular variety are flat foci, located on the scalp and forehead. The course of the disease is chronic. The basis of treatment is the regulation of diabetes. Vascular medications are used. Topically, closed dressings with medium strength steroids can be applied.
Diabetes, photo: panthermedia
Necrolytic erythema
Necrolytic erythema can be located in various places - on the face, limbs or trunk. Characteristic features include a vivid red colouration of the tongue, infiltrations, diffuse alopecia and paronychia. The disease is usually a symptom of pancreatic cancer and the progression depends on the stage of the tumour. Once the cancer is removed, the lesions resolve very quickly. Sometimes the condition is caused by cirrhosis or pancreatitis. After surgical treatment, cytostatics are used.
