Limitation of joint mobility (cheiroarthropathy) in adult noninsulin-dependent diabetic patients.

Fitzcharles, Mary Ann; Düby, Simone E.; Waddell, Robert; Banks, Eric; Karsh, Jacob

doi:10.1136/ard.43.2.251

Cited by 82 publications

(41 citation statements)

References 10 publications

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“…Indeed, the range of diabetes' duration was one month to 26 years. This makes the role of diabetes' duration in the genesis of limited joint mobility difficult to assess, but it does suggest, as in previous studies,2 5 …”

mentioning

confidence: 78%

Cheiroarthropathy and long term diabetic complications in Nigerians.

Akanji

Bella²,

Osotimehin³

1990

Annals of the Rheumatic Diseases

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Two hundred and fifty six consecutively ambulant diabetic patients attending a Nigerian diabetic clinic for the presence of cheiroarthropathy were examined using standard criteria. Forty eight (19%) had limited joint mobility of the hand, a prevalence higher than the 4% (2/56) observed in a non-diabetic population matched for age and sex. Limited joint mobility was twice as prevalent in the insulin treated (16/50, 32%) than in the noninsulin dependent (32/206, 16%) diabetics. Indices such as age, duration of diabetes, and glycaemic control (as assessed by integrated blood glucose concentration over the previous 12 months and glycated haemoglobin (HbA,c concentrations) were the same in the diabetics with and without limited joint mobility. The prevalence of cataracts (18/48, 38%) and background retinopathy (8/48, 17%) was higher in diabetics with limited joint mobility than in those without (respectively 6-9% and 5-6%

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mentioning

confidence: 78%

Cheiroarthropathy and long term diabetic complications in Nigerians.

Akanji

Bella²,

Osotimehin³

1990

Annals of the Rheumatic Diseases

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“…Синдром ограничения подвижности суставов по-лучил название хейропатии, или хейроартропатии (синдрома диабетической руки -cheiroarthropathy) [3,12,20]. Диабетическая хейропатия впервые была описана K. Lundbaek в 1957 году [17] и популяризи-рована в 1974 году A.L.…”

Section: ключевые слова: хейропатия; сахарный диабет 1-го типа; детиunclassified

Хейропатія У Дітей Із Цукровим Діабетом. Кінезо- І Фізіотерапія

Абатуров¹,

Петренко²,

Логвинов³

et al. 2021

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В настоящее время сахарный диабет (СД) от-носится к заболеваниям с высокой медико-соци-альной значимостью. Ежегодное увеличение ко-личества больных СД на 6-10 % удваивает число пациентов каждые 10-15 лет. Распространенность СД 1-го типа среди детского населения составля-ет 50 случаев на 100 тыс. человек [2]. По данным S. Arlanian (материалы Diabetes Faculty Forum Barselona, 2015), 40 % случаев СД 1-го типа, диагно-стированного у пациентов до 20-летнего возраста, при длительности заболевания менее 10 лет харак-теризуются наличием тяжелых микрососудистых осложнений [1]. Наличие хронических диабетиче-ских осложнений определяет прогноз течения СД у детей, развитие ранней инвалидизации, приводя-щей к ухудшению качества жизни и снижению ее продолжительности.Нередко при СД выявляются нарушения со стороны опорно-двигательной системы в виде патологии ахиллова сухожилия, стенозирующе-го флексорного тендовагинита пальцев (синдро-УДК 616.72:616.379-008.64-08-053.2:615.825/.83 DOI: 10.22141/2224(синдро-УДК 616.72:616.379-008.64-08-053.2:615.825/.83 DOI: 10.22141/ -0551.7.75.2016 Диабетическая хейропатия встречается у 8-50 % больных СД и считается предвестником осложне-ний СД: ретинопатии, нейропатии, нефропатии [6,9]. Данное поражение опорно-двигательной си-стемы отмечается у больных СД как 1-го, так и 2-го типа [19].Патогенез хейропатии до настоящего времени остается неясным. Существует предположение, что в основе развития хейропатии лежит взаимодействие конечных продуктов гликозилирования (advanced glycation end products -AGE) с коллагеном, кото-рое приводит к изменению структуры и биологиче- Для корреспонденции: Абатуров Александр Евгеньевич, доктор медицинских наук, профессор, заведующий кафедрой педиатрии № 1 и медицинской генетики; ГУ «Днепропетровская медицинская академия МЗ Украины», ул. Вернадского, 9, г. Днепр, 49044, Украина;

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“…Bu üç durum tek başına görü-lebileceği gibi , birliktelikte gösterebilmektedir. Kompresyon nöropatisi olan karpal tünel sendromu (KTS) ise % 14-16 prevelansı ile diabetik hastalarda diyabetik olmayan hastalardan daha yaygın görülmektedir (6,11). El, bu komplikasyonların sık görüldüğü bir organdır.…”

Section: Olgu Sunumuunclassified

A Case With Type 2 Diabetes Mellitus Complicated With Diabetic Hand and Literature Review

Kuzu¹,

Öz²,

Bayraktaroğlu³

2017

Turk J Diab Obes

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Diyabetik el sendromu gelişimi kompleks ve multifaktöriyeldir. Risk faktörleri ve patogenezi diyabetik ayak ile benzerlik göstermektedir. Burada diabetes mellitus tanısı aldıktan yıllar sonra vasküler komplikasyonların oluştuğu, özellikle diyabetik el sendromunun ortaya çıktığı bir olguyu sunmaktayız.Ellidört yaşında kadın hasta, 20 yıl önce tip 2 diyabet tanısı almış ve son 10 yıldır insulin kullanmaktadır. Son zamanlarda sol koldan fistül açılmış. İki ay önce sol elde soğukluk morarma şikâyetleri başlamış. Kaçak nedeniyle fistül kapatılmış. Yaklaşık bir ay önce sol el üçüncü parmağa nekroz nedeniyle ampütasyon yapılmış. Takip eden dönemde sol el üçüncü ve beşinci parmaklarda siyahlaşma ile kan şekerlerinde yükseklik ortaya çıkmış. Yoğun insulin tedavisi ve doz titrasyonu yapılarak kan şekeri kontrolü sağlandı. Almakta olduğu medikal tedavi, uygun hemodiyaliz şartlarında paranteral antibioterapi, analjezi ve maksimum medikasyonla operasyona yönlendirildi.Olgumuzda görüldüğü gibi diyabetik ayak ve "diyabetik el sendromu" tespit edilen olgulara multidisipliner yaklaşımla maksimum tedavi yapılmalıdır. Özellikle tromboembolilere yönelik primer ve sekonder korunma yöntemlerini özenle uygulamayı gerektirmektedir. Anahtar Sözcükler: Diyabetik el, Diabetes mellitus ABSTRACTDevelopment of "diabetic hand syndrome" is complex and multifactorial. Its risk factors and pathogenesis are similar to diabetic foot. We report here a case in which diabetic hand syndrome arises from vascular rare complications, especially.A 54 year-old female patient was diagnosed with type 2 diabetes 20 years ago and has been using insulin for the last 10 years. Lately, a left fistula has been opened. Complaints about the coldness of the left hand started two months ago. The fistula is closed because of the leak. About a month ago, amputation was made due to necrosis of the left hand third finger. In the following period, blackness on the third and fifth fingers of the left hand led to height in blood glucose. Intensive insulin therapy and dose titration were performed to control blood glucose levels. The medical treatment he was receiving was directed to the operation with appropriate parenteral antibiotherapy, analgesia and maximum medications under appropriate hemodialysis conditions.As seen in our case, maximum treatment should be done with multidisciplinary approach to diabetic foot and "diabetic hand syndrome" cases. In particular, primer and sec-ondary prevention methods for thromboembolism require careful application.

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Limitation of joint mobility (cheiroarthropathy) in adult noninsulin-dependent diabetic patients.

Cited by 82 publications

References 10 publications

Cheiroarthropathy and long term diabetic complications in Nigerians.

Cheiroarthropathy and long term diabetic complications in Nigerians.

Хейропатія У Дітей Із Цукровим Діабетом. Кінезо- І Фізіотерапія

A Case With Type 2 Diabetes Mellitus Complicated With Diabetic Hand and Literature Review

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