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Cutaneous Manifestations of DM Examination (Hands (Cheiroarthropathy,…
Cutaneous Manifestations of DM
Examination
Hands
Cheiroarthropathy
Tight waxy skin that limits finger extension
Prayer sign
Glucose skin prick testing marks
Granuloma annulare
Flesh-coloured papules in annular configuration
Usually on dorsum of hand
10% assoc. w/ DM
Injection Sites
Shoulders, abdomen and thighs
Lipodystrophy
Shins
Necrobiosis lipoidica diabeticorum
Well-demarcated waxy, bruise-like plaques
Prominent blood vessels
90% female
Feet
Charcot’s Joints
Ulcers: heel, metatarsal heads, digits
Other
Infections: candida, cellulitis
Eruptive tendon xanthoma: secondary to hyperlipidaemia