{"id":7935,"date":"2020-04-26T11:32:24","date_gmt":"2020-04-26T14:32:24","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/"},"modified":"2020-04-27T15:03:55","modified_gmt":"2020-04-27T18:03:55","slug":"skin-problems-associated-with-diabetes-mellitus","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/","title":{"rendered":"Skin problems associated with diabetes mellitus."},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Introduccion\" >Introduction<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Condiciones-de-la-piel-asociadas-con-diabetes-mellitus\" >Skin conditions associated with diabetes mellitus.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#%C2%BFQue-es-la-diabetes-mellitus\" >What is diabetes mellitus?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Dermopatia-diabetica\" >Diabetic dermopathy<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Dermopatia-diabetica-2\" >Diabetic dermopathy<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#%C2%BFQue-causa-la-dermopatia-diabetica\" >What Causes Diabetic Dermopathy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Cuales-son-los-signos-y-sintomas\" >What are the signs and symptoms?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#%C2%BFCual-es-el-tratamiento-para-la-dermopatia-diabetica\" >What is the treatment for diabetic dermopathy?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Bullas-diabeticas\" >Diabetic bullae<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Bullas-diabeticas-2\" >Diabetic bullae<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Piel-rigida-diabetica\" >Diabetic stiff skin<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Piel-rigida-diabetica-2\" >Diabetic stiff skin<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/problemas-de-la-piel-asociados-con-diabetes-mellitus\/#Otras-afecciones-dermatologicas-asociadas-con-diabetes\" >Other dermatological conditions associated with diabetes.<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It is estimated that 30% of patients with diabetes mellitus will experience a skin problem at some point during the course of their disease. Various skin disorders are more common in diabetic patients, particularly those due to <span class=\"term\" data-term-id=\"145\">infection<\/span> like candida and impetigo. Type 2 diabetes patients also have twice the risk of developing the common disease. <span class=\"term\" data-term-id=\"385\">scaly<\/span> disease, psoriasis, such as non-diabetic.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Condiciones-de-la-piel-asociadas-con-diabetes-mellitus\"><\/span>Skin conditions associated with diabetes mellitus.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ret3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9773265-7186190' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ret3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9773265.jpg'>\n<\/div>\n<p class=\"p-small\">Impetigo<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='1256__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5020544-3908769' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/1256__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5020544.jpg'>\n<\/div>\n<p class=\"p-small\">Candida intertrigo<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='superimposed2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8060360-5799457' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/superimposed2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8060360.jpg'>\n<\/div>\n<p class=\"p-small\">Psoriasis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Specific skin conditions associated with diabetes mellitus are described below.<\/p>\n<ul>\n<li>Diabetic <span class=\"term\" data-term-id=\"396\">dermopathy<\/span><\/li>\n<li>Diabetic <span class=\"term\" data-term-id=\"499\">bullas<\/span><\/li>\n<li>Diabetic stiff skin<\/li>\n<li>Others<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-diabetes-mellitus\"><\/span>What is diabetes mellitus?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Diabetes mellitus is a collection of various disorders associated with increased blood. <span class=\"term\" data-term-id=\"559\">glucose<\/span> concentration.<\/p>\n<p>Diabetes is associated with impaired carbohydrates, proteins, and fats. <span class=\"term\" data-term-id=\"934\">metabolism<\/span> due to insufficient secretion of <span class=\"term\" data-term-id=\"1510\">insulin<\/span> or insulin resistance of the target tissue. Complications of diabetes mellitus include macrovascular (cardiovascular) and microvascular (retinopathy, nephropathy, or <span class=\"term\" data-term-id=\"400\">neuropathy<\/span>) <span class=\"term\" data-term-id=\"540\">aftermath<\/span>.<\/p>\n<p class=\"w-75\">Type 1 diabetes mellitus is characterized by an absolute absence of insulin and is due to <span class=\"term\" data-term-id=\"691\">autoimmune<\/span> Destruction of beta cells. It is usually presented with <span class=\"term\" data-term-id=\"349\">acute<\/span> symptoms or <span class=\"term\" data-term-id=\"968\">ketoacidosis<\/span> in childhood or adolescence, and lifelong insulin therapy is mandatory.<\/p>\n<p class=\"w-75\">Type 2 diabetes mellitus is a common disorder classified by insulin resistance and relative insulin deficiency. Patients are often <span class=\"term\" data-term-id=\"731\">asymptomatic<\/span> and they are diagnosed through screening. Strong risk factors include older age, obesity, physical inactivity, prior gestational diabetes, prediabetes, non-white ancestry, a family history of diabetes, and a polycystic ovary. <span class=\"term\" data-term-id=\"350\">syndrome<\/span>. Modification of cardiovascular risk factors (eg, <span class=\"term\" data-term-id=\"561\">hypertension<\/span> and <span class=\"term\" data-term-id=\"554\">dyslipidemia<\/span>) are an important part of treatment, along with blood glucose <span class=\"term\" data-term-id=\"1854\">control<\/span> to prevent microvascular complications.<\/p>\n<p class=\"w-75\">Type 2 diabetes is the leading cause of type 2 diabetes in children, who are generally older than 10 years. <span class=\"term\" data-term-id=\"2\">Acanthosis<\/span> nigricans accompanies childhood diabetes at 90 to 95%.<\/p>\n<p class=\"w-75\">Gestational diabetes is diagnosed if glucose intolerance is first recognized during pregnancy at 24\u201328 weeks&#039; gestation. Strong risk factors include advanced maternal age (over 40 years), obesity, a personal history of gestational diabetes or macrosomia affecting a previous child, polycystic ovary syndrome, non-white ancestry, and a family history of diabetes mellitus. <\/p>\n<p class=\"w-75\">Other presentations of diabetes mellitus include diabetic ketoacidosis, hyperosmolar hyperglycemic state, diabetic cardiovascular disease, diabetic kidney disease, diabetic neuropathy, diabetic foot, diabetic retinopathy, and metabolic syndrome.<\/p>\n<p>Increasing <span class=\"term\" data-term-id=\"589\">predominance<\/span> of diabetes requires screening to detect diabetes and prediabetes in risk groups to prevent and mitigate disease progression.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Dermopatia-diabetica\"><\/span>\n<p>Diabetic dermopathy<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Diabetic dermopathy is a skin condition characterized by scaly patches that are light brown or reddish, oval or round, slightly bleeding that appear most often on pimples. Although these injuries can appear in anyone, particularly after an injury or <span class=\"term\" data-term-id=\"1365\">trauma<\/span> in the area, they are one of the most common skin problems found in patients with diabetes mellitus. Diabetic dermopathy has been found to occur in up to 30% of patients with diabetes.<\/p>\n<p>Diabetic dermopathy is also sometimes known as pimples and <span class=\"term\" data-term-id=\"1520\">pigmented<\/span> <span class=\"term\" data-term-id=\"1396\">pretibial<\/span> patches look like solar energy <span class=\"term\" data-term-id=\"1394\">lentigines<\/span>.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermopatia-diabetica-2\"><\/span>Diabetic dermopathy<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-dermopathy-01__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9244091-5714555' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-dermopathy-01__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9244091.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic dermopathy<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-dermopathy-02__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2738452-8487698' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-dermopathy-02__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2738452.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic dermopathy<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-dermopathy-03__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9423116-5350492' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-dermopathy-03__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9423116.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic dermopathy<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-dermopatia-diabetica\"><\/span>What Causes Diabetic Dermopathy?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The exact cause of diabetic dermopathy is unknown, but it may be associated with diabetes. <span class=\"term\" data-term-id=\"348\">neuropathic<\/span> and <span class=\"term\" data-term-id=\"753\">vascular<\/span> complications, as studies have shown that the condition occurs more frequently in diabetic patients with retinopathy, neuropathy, and kidney disease.<\/p>\n<p>Diabetic dermopathy tends to occur in older patients or in those who have had diabetes for at least 10-20 years. It also appears to be closely related to increased glycosylation <span class=\"term\" data-term-id=\"1205\">hemoglobin<\/span>, an indicator of poor control of blood glucose levels.<\/p>\n<p>Because injuries often occur in bony parts of the body, such as shins, it is believed that diabetic dermopathy may also be a magnified response to injury or trauma to these areas. Studies have shown that pimple spots have appeared in response to trauma with heat, cold, or blunt objects in patients with diabetes.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Cuales-son-los-signos-y-sintomas\"><\/span>What are the signs and symptoms?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Diabetic dermopathy lesions most often appear on the shins. Less commonly, lesions can be found on the front of the thighs, forearm, side of the foot, scalp, and trunk. The characteristics of the lesions are:<\/p>\n<ul>\n<li>Round or oval<\/li>\n<li>Reddish brown color<\/li>\n<li>Initially flaky, but then flattens and bleeds<\/li>\n<li>They commonly occur on both pimples.<\/li>\n<\/ul>\n<p>The presence of four or more lesions is almost always limited to patients with diabetes. People with pimple spots who have not yet been diagnosed with diabetes should undergo further investigation to rule out the possibility of early diabetes.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-dermopatia-diabetica\"><\/span>What is the treatment for diabetic dermopathy?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Diabetic dermopathy lesions or pimples are harmless. They generally don&#039;t require any treatment and tend to go away after a few years, particularly after better blood glucose control.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Bullas-diabeticas\"><\/span>\n<p>Diabetic bullae<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Diabetic blisters, also known as diabetic bullosis, are blister-like lesions that occur spontaneously on the feet and hands of diabetic patients. Although rare, diabetic blisters are a hallmark marker of diabetes.  <\/p>\n<ul>\n<li>Diabetic blisters are more common in men than women.<\/li>\n<li>Are <span class=\"term\" data-term-id=\"1676\">predominant<\/span> between the ages of 17 and 84.<\/li>\n<li>They are also more common in patients who have long-standing diabetes or multiple diabetic complications, particularly neuropathy.<\/li>\n<\/ul>\n<p>The blisters are painless and can be 0.5 to 17 centimeters in size. They are often irregular in shape. Two types of diabetic blisters have been defined.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1038\">Intraepidermal<\/span> blisters: these are clear, sterile filled blisters <span class=\"term\" data-term-id=\"904\">viscous<\/span> fluid and normally heals spontaneously within 2 to 5 weeks without scarring and <span class=\"term\" data-term-id=\"18\">atrophy<\/span>.<\/li>\n<li>Sub-epidermal bullae: these are less common and can fill with blood. Healed blisters may show scarring and atrophy.<\/li>\n<\/ul>\n<p>In most cases, diabetic blisters heal spontaneously without treatment. Patients should ensure that the blister remains intact to avoid secondary infection.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Bullas-diabeticas-2\"><\/span>Diabetic bullae<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-bullae1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3174693-7097335' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-bullae1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3174693.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic bullae<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-bullae2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8431854-9349123' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-bullae2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8431854.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic bullae<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-bullae__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8331971-5080514' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-bullae__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8331971.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic bullae<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Piel-rigida-diabetica\"><\/span>\n<p>Diabetic stiff skin<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Many patients with long-standing type 1 diabetes develop diabetic keiroarthropathy or diabetic rigid skin (digitalis <span class=\"term\" data-term-id=\"260\">sclerosis<\/span>) This results in restricted mobility of your hand joints and stiff, waxy, thickened and yellowish skin. This is believed to be due to the reaction of glucose with proteins in the skin and an increase in glycation end products. These patients may also suffer from Dupuytren <span class=\"term\" data-term-id=\"1757\">contracture<\/span> (Tension of the tendon, which bends the fingers).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Piel-rigida-diabetica-2\"><\/span>Diabetic stiff skin<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-stiff-skin-04__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-4313311-6220714' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-stiff-skin-04__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-4313311.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic stiff skin<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-stiff-skin-05__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-8423830-7089868' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-stiff-skin-05__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-8423830.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic stiff skin<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='diabetic-stiff-skin-06__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildewov0-2473997-9967612' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/diabetic-stiff-skin-06__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDEwOV0-2473997.jpg'>\n<\/div>\n<p class=\"p-small\">Diabetic stiff skin<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Otras-afecciones-dermatologicas-asociadas-con-diabetes\"><\/span>\n<p>Other dermatological conditions associated with diabetes.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Other common conditions in diabetics are foot <span class=\"term\" data-term-id=\"1279\">ulcers<\/span> and <span class=\"term\" data-term-id=\"194\">necrobiosis<\/span> lipoidica<\/p>\n<p>Diabetics with <span class=\"term\" data-term-id=\"896\">renal<\/span> Faults are also prone to reactive perforating collagenosis and Kyrle&#039;s disease.<\/p>\n<ul>\n<li>\n<p>Scleroedema - a rare complication of type 2 diabetes that causes thickening of the skin on the neck and upper back<\/li>\n<li>\n<span class=\"term\" data-term-id=\"67\">Disseminated<\/span> <span class=\"term\" data-term-id=\"113\">granuloma<\/span> cancel\n<\/li>\n<li>Eruptive xanthoma on the hands, arms, feet, legs, and buttocks associated with high levels of <span class=\"term\" data-term-id=\"1507\">cholesterol<\/span> and <span class=\"term\" data-term-id=\"1509\">triglycerides<\/span>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scleredema-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-5986387-7027561' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scleredema-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-5986387.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='granuloma-annulare-045__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8728893-2684277' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/granuloma-annulare-045__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8728893.jpg'>\n<\/div>\n<p class=\"p-small\">Generalized granuloma annulare<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eruptive-xanthoma-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2901815-6393312' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eruptive-xanthoma-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2901815.jpg'>\n<\/div>\n<p class=\"p-small\">Eruptive xanthoma<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>Xanthelasma: multiple yellowish scaly patches on and around the eyelids<\/li>\n<li>Skin tags<\/li>\n<li>\n<p>Vitiligo - an autoimmune skin problem sometimes associated with type 1 diabetes<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='xanthelasma27__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1664367-8444842' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/xanthelasma27__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1664367.jpg'>\n<\/div>\n<p class=\"p-small\">Xanthelasma<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='skintag15__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9487337-1385269' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/skintag15__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9487337.jpg'>\n<\/div>\n<p class=\"p-small\">Skin tag<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='localised-vitiligo__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildexmf0-5572464-2784226' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/localised-vitiligo__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDExMF0-5572464.jpg'>\n<\/div>\n<p class=\"p-small\">Vitiligo<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<p>Acanthosis nigricans: darkening and thickening of the skin folds, which is believed to be due to insulin resistance.<\/li>\n<li>\n<p>Lipoid necrobiosis - yellow, waxy <span class=\"term\" data-term-id=\"368\">plates<\/span> on the shin<\/li>\n<li>\n<span class=\"term\" data-term-id=\"245\">Pruritus<\/span> - This can have many causes, such as fungal infection, dry skin, neuropathy, or poor blood flow.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"47\">Cutaneous<\/span> <span class=\"term\" data-term-id=\"843\">dysesthesia<\/span> - due to small fiber neuropathy<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"> <\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acanth-nigricans5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4698775-8392988' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acanth-nigricans5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4698775.jpg'>\n<\/div>\n<p class=\"p-small\">Acanthosis nigricans<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='nld1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5907831-2170710' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/nld1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5907831.jpg'>\n<\/div>\n<p class=\"p-small\">Lipoid necrobiosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='pruritus-06__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1172843-5462350' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pruritus-06__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1172843.jpg'>\n<\/div>\n<p class=\"p-small\">Itching excoriations<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"937\">Bacterial<\/span> skin infections, including stye, boil, <span class=\"term\" data-term-id=\"1\">abscess<\/span>, <span class=\"term\" data-term-id=\"220\">paronychia<\/span>cellulitis <\/li>\n<li>\n<p>Fungal infections, particularly <em>Candida albicans<\/em>\n<\/li>\n<\/ul>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='boil2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4442079-8079166' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/boil2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4442079.jpg'>\n<\/div>\n<p class=\"p-small\">Boil<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='cellulitis-012__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-7126452-3744130' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/cellulitis-012__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-7126452.jpg'>\n<\/div>\n<p class=\"p-small\">Cellulitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='1309__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1648867-4727858' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/1309__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1648867.jpg'>\n<\/div>\n<p class=\"p-small\">Candida intertrigo<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Se estima que el 30% de los pacientes con diabetes mellitus experimentar\u00e1n un problema de la piel en alg\u00fan momento durante el curso de su enfermedad. Varios trastornos de&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7935","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7935"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7935\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7935"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7935"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}