Abstract

Cutaneous manifestations are found in more than 25 percent of Diabetes Mellitus (DM) patients. Diabetic dermopathy is related to the abnormal carbohydrate metabolism, microangiopathy, Peripheral neuropathy, Peripheral vascular disease, atherosclerosis and impaired host defence mechanism. Diabetic dermopathy give a clue to current and past status of glycemic control. Aim: This study aims to assess the variety of cutaneous manifestations and nail changes of Diabetes Mellitus patients admitted in Tertiary care centre. Methods: The study was a cross sectional study of 100 adult diabetes Mellitus patients with cutaneous manifestations attending our Diabetic clinic were included in the study with proper inclusion and exclusion criteria and informed consent. The study period was for one year from January 2022 to December 2022. All patients were subjected to proper history, physical examination, dermatologist opinion and appropriate investigations. Data was analysed using statistical package in social science. Results: Skin manifestations were common in Type 2 Diabetes mellitus than Type1 Diabetes Mellitus. Infections predominate the list. Fungal infections followed by bacterial infections. In nail changes onychomycosis is common. The longer the duration of Diabetes more the skin manifestations. The patients with poor glycemic control had more skin manifestations. Conclusion: Skin manifestations may be sometimes the first manifestation of Diabetes Mellitus especially candidiasis. Most of the patients with cutaneous manifestations also had systemic complications of Diabetes Mellitus. So dermatological evaluation of patients is necessary and sometimes it may give potential clues in diagnosing Diabetes mellitus and its complications.

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