Dermopathy in the Diabetic Syndrome

<p>Clinical Significance of Diabetic Dermatopathy</p>

“…Melin suggested that DD's occurrence was secondary to trauma as the lesions are asymptomatic and often go unnoticed by patients with the presumption that lesions might have arisen due to trauma. 2 Experiments were conducted to mimic the lesions in vivo by striking the skin with a rubber hammer that was unsuccessful.…”

“…Diabetic dermopathy was first reported by Hans Melin in 1964 and the term was coined by Binkley in 1965. 1,2 Other phrases used interchangeably with diabetic dermopathy were shin spots, pigmented pretibial patches, diabetic dermangiopathy and spotted leg syndrome. These lesions have been reported to occur in 0.2-55% of diabetic patients.…”

Diabetes mellitus and the skin

“… 20 , 21 The disease was first described by Hans Melin in the early 60s, as circumscribed brownish lesions located in the lower limbs of diabetic patients and named as diabetic dermopathy by Binkley (1965), who considered it a cutaneous manifestation of diabetic microangiopathy. 22 , 23 …”

“…Early lesions of DD can be mistaken with fungal infection. 23 , While typical brownish atrophic scars may require differentiation of Schamberg’s disease (progressive pigmented purpuric dermatitis), purpura annularis telangiectasica, purpuric lichenoid dermatitis, pigmented stasis dermatitis, scarring lesions, papulonecrotic tuberculids, factitious dermatitis and abrasions. 23 Many of these entities can be differentiated by distribution, appearance and natural history.…”

Bullous Dermatosis Associated with Latent Diabetes

“…One of the cutaneous complications of the diabetic syndrome, the socalled diabetic dermopathy, was first observed in 1964 [3,10]. The primary lesions are brownish red circumscribed maculae appearing individually, less often in groups, on the extensor surface of the legs and healing by for mation of brownish, atrophic scars.…”