Diabetic dermopathy is a constellation of well-demarcated, hyperpigmented, atrophic depressions, macules, or papules located on the anterior surface of the lower legs that is usually found in patients with DM. Diabetic dermopathy is a term used to describe the small, round, brown atrophic skin lesions that occur on the shins of patients with diabetes. Skin disorders, usually neglected and frequently underdiagnosed among diabetic patients, are common complications and encounter a broad spectrum of disorders in both type 1 and type 2 diabetes mellitus (DM)—e.g. METHODS: The possible role of diabetic dermopathy as a clinical sign of internal complications in diabetes mellitus was investigated. AGE inhibition antagonizes diabetic complications in experimental models Polyol pathways. Scientists feel that is related to the damage to the nerves and blood vessels often seen in diabetic patients. Common features of the patches include the following: It is important to remember that these are lesions that are, for the most part harmless, and are just a sigh of poorly controlled diabetes. dermopathy is a skin condition that develops as a result of changes to the blood vessels that supply the skin. Because diabetic dermopathy is usually symptom free, it’s frequently confused with age spots, also known as liver spots, which have a similar appearance. It is a skin condition that is often referred to as pigmented pretibial patches or shin spots, due to their usual location. They start out scaly but then become flatter and more indented over time. 1109376 Diabetic dermopathy is found in 12.5% to 40% of patients and most often in the elderly. The lesions of diabetic dermopathy look light brown or red in color, are round or oval in shape, and are slightly indented and scaly patches that are more commonly found on the shins of diabetic patients. They are usually oval, round, or linear in shape, clearly demarcated from surrounding skin. It is the most common cutaneous marker of DM. Interestingly, the lesions or patches of diabetic dermopathy are often located over the bony aspects of the shins. Please follow this link if you have any high-quality images that you can contribute to the website. It is the most common cutaneous marker of DM. Among diabetic patients, the estimated incidence of diabetic dermopathy ranges from 9% to 55%. About 25% of people with diabetes eventually develop kidney disease.Diabetic nephropathy affects your kidneys' ability to do their usual work of removing waste products and extra fluid from your body. These, in particular, are not harmful and … Studies have shown that in the setting of diabetes, various factors stimulate the RAAS, which is one of the most important pathways in diabetic nephropathy pathophysiology. Started in 1995, this collection now contains 6856 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. The patches have no other symptoms, such as pain or itching. Diabetic Dermopathy. PCDS Winter Bulletin 2018  |  18.12.2018, THE LEADING DERMATOLOGICAL SOCIETY FOR GPS, Leg dressings and other bandaging techniques, Diplomas and other educational programmes, The underlying mechanism for diabetic dermopathy is unknown, In older patients diabetic dermopathy was found to occur after a shorter duration of diabetes, whereas in younger patients lesions occurred only after ten years in patients less than 20 years of age, Rarely the arms, thighs, trunk and abdomen, Lesions begin spontaneously as non-blanching, scaly, red or purple, round or oval macules or papules. If you think you have lesions consistent with diabetic dermopathy, see your doctor in order to confirm the diagnosis and get some care if one or more of the lesions open up and become ulcerated. Diabetic dermopathy is a term used to describe the small, round, brown atrophic skin lesions that occur on the shins of patients with diabetes. Symptoms depend on the site of nerve damage and can include motor changes such as weakness; sensory symptoms such as numbness, tingling, or pain; or autonomic changes such as urinary symptoms. It is seen in individuals suffering from diabetes mellitus. This is a skin condition that seems to be more prevalent among older patients with diabetes and in people who have had their condition for a minimum of ten to twenty years. The best way to prevent or delay diabetic nephropathy is by maintaining a healthy lifestyle and treatin… 1 In a case series of 100 consecutive inpatients or outpatients in India with DM and skin lesions, diabetic dermopathy was found in 36%. They rarely open up to become open sores and often simply look like age spots. Diabetic neuropathy most often damages nerves in your legs and feet.Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your legs and feet to problems with your digestive system, urinary tract, blood vessels and heart. PCDS Spring Bulletin 2019 Editorial  |  04.04.2019 Never hearing of it, it automatically peaked my interest so I started to research what it was all about. Symptoms include the following: It is the most common cutaneous marker of DM. They often disappear spontaneously over a several year period of time. Copyright © 1994 - 2020 The Primary Care Dermatology Society. skin condition characterized by shiny round lesion typically red to light brown in color commonly found on the lower legs of people with diabetes mellitus Although these lesions may appear in anyone, particularly after an injury or trauma to the area, they are one of the most common skin problems found in patients with diabetes mellitus. Research as shown that diabetic dermopathy shows up after there has been some kind of trauma to the affected area secondary to cold, heat, or being hit with a blunt object in a diabetic patient. All rights reserved. Some can be pink or red in color. Diabetic dermopathy lesions will usually appear more often after trauma or an injury in the area where you see them the most but there is not specific reason. 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