Horton William B, Boler Patrick L, Subauste Angela R
From the Department of Medicine, University of Mississippi Medical Center, Jackson, and the Department of Dermatology, Louisiana State University Health Sciences Center, New Orleans.
South Med J. 2016 Oct;109(10):636-646. doi: 10.14423/SMJ.0000000000000541.
Diabetes mellitus (DM) is a heterogeneous condition characterized by hyperglycemia as a consequence of defects in insulin secretion and variable degrees of insulin resistance. DM is the most common endocrine disorder in the United States, affecting 9.3% of the population (29.1 million people) in 2014. Skin disorders are present in 79.2% of patients with DM, and cutaneous disease may appear as the first sign of DM or develop at any time in the course of the disease. Given the increasing incidence and prevalence of DM in the United States, primary care physicians should be aware of the associated cutaneous manifestations. This clinical review provides a brief guide to primary care physicians for recognizing and managing skin conditions that they may encounter when caring for patients with DM.
糖尿病（DM）是一种异质性疾病，其特征为由于胰岛素分泌缺陷和不同程度的胰岛素抵抗导致的高血糖。糖尿病是美国最常见的内分泌疾病，2014年影响了9.3%的人口（2910万人）。79.2%的糖尿病患者存在皮肤疾病，皮肤疾病可能作为糖尿病的首发症状出现，或在疾病过程中的任何时候发生。鉴于美国糖尿病的发病率和患病率不断上升，初级保健医生应了解相关的皮肤表现。本临床综述为初级保健医生提供了一个简要指南，以识别和管理他们在照顾糖尿病患者时可能遇到的皮肤状况。
