DIABETIC DERMOPATHY
*N. S. Neki, **Jasbir Kumar, ***Sumit Bhatia, ****Ankur Jain and *****Deepak Agarwal
ABSTRACT
A 52 year old male type 2 diabetes mellitus patient having diabetes since 9 years on oral hypoglycemic agents &
hypertension 8 years on irregular treatment, was admitted for control of blood sugar & hypertension. On
examination he was conscious, oriented, BMI 26.5kg/mm2, BP 160/90 mmHg, Pulse rate 90/min, regular with no
special character, Temp afebrile, no cyanosis, JVP normal with mild edema feet. There was no history of trauma
to legs. Examination of chest, CVS and abdomen was unremarkable. CNS examination was normal except sensory
motor neuropathy. The peripheral vessels were nonpalpable. Fundus examination revealed changes suggestive of
proliferative retinopathy. In addition to hypertension, he was diagnosed to be a case of diabetes mellitus with
complications of neuropathy, retinopathy and peripheral vascular disease. Dermatological examination revealed
bilateral hyperpigmented oval to round macules of 0.5 to 3.0 cm with asymmetrical distribution on the extensor
surface of both the lower limbs (Fig 1) establishing the diagnosis of diabetic dermopathy(DD). Diabetic
dermopathy(DD) affects 12.5% to 40% of all diabetes both type1 and type2 diabetes.
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