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Diabetic Dermopathy: All we need to know

About

Diabetic Dermopathy is the presence of small, round and brown atrophic skin lesions that occur on the skin of patients suffering from diabetes mellitus.

These lesions occur in up to 55% of patients suffering from diabetes and are asymptomatic. [1]

- No specific treatment required
- Usually self-diagnosable
- Lab tests or imaging not required
- long-term: persists for months to years

Most vulnerable:
- Older patients
- Patients with longstanding diabetes
- People with poor glucose control

More common in: Males
May also occur: Due to injuries

Causes

The real cause of diabetic dermopathy is not clearly understood. It is thought to be associated with:
- Diabetic neuropathy
- Vascular complications
- Retinopathy and nephropathy

Symptoms
Self-diagnosable:
- Pink to red or dark to tan brown patches; most frequently found on legs
- Scaly and round to oval patches
- Location of patches: shins, sides of feet, thighs, forearms, and typically lower legs
- No itching or burning on and around the patches

Diagnosis and treatment
Diagnosis
Diabetic dermopathy is generally clinically diagnosed. Due to being asymptomatic, people usually consider it as a trauma. Skin is rarely biopsied for its diagnosis.

Treatment

Since diabetic dermopathy is asymptomatic; no treatment is usually required.

Self-care:
The lesions usually improve over time. Keeping skin moisturized and avoiding injuries help prevent the development of lesions.

Medicines:
Medicines prescribed to control the level of blood glucose and topical creams containing fusidic acid may prove to be helpful.

Specialists:
For further concern, contact a doctor or dermatologist. At mfine, you will receive a holistic treatment plan for optimum health.

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