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手掌和足底发黄:糖尿病中一种罕见的皮肤表现。

Yellow palms and soles: A rare skin manifestation in diabetes mellitus.

作者信息

Julka Sandeep, Jamdagni Nitin, Verma Selexi, Goyal Raksha

机构信息

Department of Endocrinology, Synergy Hospital, Indore, Madhya Pradesh, India.

出版信息

Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S299-300. doi: 10.4103/2230-8210.119625.

DOI:10.4103/2230-8210.119625
PMID:24251193
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3830339/
Abstract

Carotenemia with its yellowish-red tint is found in diabetes. The frequency of this phenomenon is unknown and the relationship between skin color and blood carotenoid level is controversial. Frequently the suspicion of diabetes arising from inspection of the skin color is in fact confirmed by the usual laboratory tests. As it is known that increased intake of carotenoid-rich fruit and vegetables leads to the yellowish-red skin discoloration, in the present case the patient was a known diabetic with uncontrolled blood sugar and showed the yellowish skin discoloration in spite of not taking any carotenoid-rich foods. After controlling his blood sugar level the patient showed improvement in his skin discoloration.

摘要

糖尿病患者中可出现带有黄红色调的胡萝卜素血症。这种现象的发生率尚不清楚,皮肤颜色与血液中类胡萝卜素水平之间的关系也存在争议。通常,因检查皮肤颜色而怀疑患有糖尿病,实际上通过常规实验室检查得以证实。众所周知,摄入富含类胡萝卜素的水果和蔬菜会导致皮肤出现黄红色变色,在本病例中,患者为已知糖尿病患者,血糖控制不佳,尽管未食用任何富含类胡萝卜素的食物,但仍出现了皮肤发黄变色的情况。在控制血糖水平后,患者的皮肤变色情况有所改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0663/3830339/4e4e5e576d12/IJEM-17-299-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0663/3830339/7e0e175174ef/IJEM-17-299-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0663/3830339/4e4e5e576d12/IJEM-17-299-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0663/3830339/7e0e175174ef/IJEM-17-299-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0663/3830339/4e4e5e576d12/IJEM-17-299-g002.jpg

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Yellow palms and soles: A rare skin manifestation in diabetes mellitus.手掌和足底发黄:糖尿病中一种罕见的皮肤表现。
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引用本文的文献

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Type 1 and Type 2 Diabetes Measurement Using Human Face Skin Region.使用人脸皮肤区域测量 1 型和 2 型糖尿病
J Diabetes Res. 2023 Sep 26;2023:9931010. doi: 10.1155/2023/9931010. eCollection 2023.
2
Image Diagnosis: Yellow Palms and Soles: Look Beyond the Eyes and Think Beyond Hyperbilirubinemia.影像诊断:手掌和足底发黄:跳出黄疸看问题,超越高胆红素血症思考。
Perm J. 2017;21:17-034. doi: 10.7812/TPP/17-034.

本文引用的文献

1
Carotinaemia and Diabetes.胡萝卜素血症与糖尿病。
Can Med Assoc J. 1928 May;18(5):527-30.
2
Images in clinical medicine. Yellow palms and soles in diabetes mellitus.
N Engl J Med. 2006 Oct 5;355(14):1486. doi: 10.1056/NEJMicm050780.
3
Carotenemic, skin colour and diabetes mellitus.胡萝卜素血症、皮肤颜色与糖尿病
Acta Diabetol Lat. 1975 May-Aug;12(3-4):202-7. doi: 10.1007/BF02581301.