Paron N G, Lambert P W
Department of Internal Medicine, Michigan State University College of Human Medicine, Saginaw Cooperative Hospitals, Inc., Saginaw, Michigan 48602, USA.
Prim Care. 2000 Jun;27(2):371-83. doi: 10.1016/s0095-4543(05)70201-3.
A broad spectrum of cutaneous disorders may be encountered in patients with both type 1 and type 2 diabetes mellitus. On occasion, these dermatologic findings may even precede any clinical or biochemical evidence for diabetes. Cutaneous manifestations of diabetes mellitus can be classified as conditions with strong associations with diabetes mellitus; infectious causes of skin lesions; dermatologic disorders related to complications of diabetes mellitus; and skin conditions related to the treatment of diabetes mellitus. This article provides a concise review of the epidemiology, clinical findings, histopathologic features, differential diagnostic considerations, and therapeutic approaches to specific dermatologic disorders seen in diabetic patients. This article also provides a framework for an effective approach to the majority of cutaneous manifestations encountered in patients with diabetes mellitus in a typical primary care setting.
1型和2型糖尿病患者可能会出现广泛的皮肤疾病。有时，这些皮肤表现甚至可能先于糖尿病的任何临床或生化证据出现。糖尿病的皮肤表现可分为与糖尿病密切相关的病症；皮肤病变的感染性病因；与糖尿病并发症相关的皮肤病；以及与糖尿病治疗相关的皮肤状况。本文简要综述了糖尿病患者中特定皮肤病的流行病学、临床表现、组织病理学特征、鉴别诊断注意事项及治疗方法。本文还为在典型的初级保健环境中有效处理糖尿病患者遇到的大多数皮肤表现提供了一个框架。
