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Diabetic Exam
 
 
 
 
Diabetic Exam
Poor diabetic control may manifest in many different ways, with macrovascular and microvascular complications. The diabetic examination is useful for diagnosing these complications, particularly when it comes to the vascular and neurologic examination of the lower limb.
 

Skin Inspection

 
 

Rashes Associated with Diabetes

  • Xerosis cutis: abnormally dry skinCold weather, excessive bathing, irritants, advanced age, uraemia, diabetes, hypothyroidism
  • Granuloma annulare: smooth, ring-like erythematous plaquesBenign, diabetes
  • Diabetic dermopathy: <10mm well-dermarcated atrophic lesions around the proximal shinType 1 and 2 diabetes
  • Kyrle's disease: hyperpigmented papules with a central keratin plug.Chronic kidney disease, diabetes, liver failure
  • Acanthosis nigricans: dark, velvety, nonerythematous lesions on the axillae, antecubital fossae or around the neck.Type 2 diabetes, obesity, gastrointestinal malignancy
  • Eruptive xanthoma: yellow papules with underlying erythemaHypertriglyceridaemia, poor controlled type 2 diabetes
  • Necrobiosis lipoidica: painless irregular plaques over the proximal shin with a yellow centre and purple peripheryType 1 diabetes
  • Bullosis diabeticorum: non-inflamed bullae over the legs and feetType 1 diabetes (peripheral neuropathy)
Last updated on November 28th, 2019
 
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