Cutaneous Manifestations of Diabetes Mellitus: A Cross-Sectional Study in a Tertiary Care Hospital


  • Sivaram Avula
  • Masthansahib D
  • Madhavi Latha M


Background: diabetes mellitus (DM) is the most common endocrine disorder. Mucocutaneous manifestations of DM are many and vary from trivial to life-threatening and often herald the onset of diabetes.

Aims: To study the incidence of mucocutaneous manifestations in diabetes mellitus with respect to demographic data such as age, sex and duration of diabetes mellitus.

Materials and methods: This is a cross-sectional observational study of 200 diabetic patients with cutaneous manifestations attending skin and diabetic clinic OPD. Detailed history, clinical examination and relevant investigations were done to diagnose the mucocutaneous disorders and complications of diabetes.

Results: Demographic profile showed majority of cases belonging to 5th decade (33%) and 4th decade (27%) with male preponderance. Cutaneous infections were most common (62%) followed by dermatoses more commonly associated with diabetes (58%). Some patients had more than one cutaneous manifestation.


Proper skin care and long-term control of blood glucose may reduce the risk of complications and is immensely beneficial to patients in long run.


Sahay BK. Diabetes mellitus-basic considerations. In: Saha SN, editor. API text of medicine. 8th ed. Mumbai: The Association of physicians of India; 2008. pp.1042–43.

Bhat YJ, Gupta V, Kudyar RP. Cutaneous manifestations of diabetes mellitus. Int J Diab Dev ctries 2006; 26:152–5.

Kalus AA, Chein AJ, Olerud JE. Diabetes mellitus and other endocrinal disorders. In: Wolff K, Goldsmith LA, Katz SI, Gilchrist BA, Paller AS, Lefell DJ, editors. Fitzpatricks dermatology in general medicine. 7th ed. Newyork: McGraw-Hill Medical; 2008. pp. 1461–84.

Mahajan S, Karanne RV, Sharma SK. Cutaneous manifestations of diabetes mellitus. Indian J Dermatol Venereol Leprol 2003;69:105–8.

Al-Mutairi N, Zaki A, Sharma AK, Al-Sheltani M. Cutaneous manifestations of diabetes mellitus. Med Princ Pract 2006;15:427–30.

Sawhney M, Talwar OP, Tutakne MA, Rajpathak SD. Diabetic dermoangiopathy: A clinicopathological correlation. Indian J Dermatol Venereol Leprol 1992;58:172–8.

Rao S, Pai G. Cutaneous manifestations of diabetes mellitus. Indian J Dermatol Venereol Leprol 1997;63(4):232–34.

Nigam PK, Pande S. Pattern of dermatoses in diabetics. Indian J Dermatol Venereol Leprol 2003;69:83–5.

Feringer T. Miller FO. Cutaneous manifestations of diabetes mellitus. Dermatol Clin 2002;20:483–92.

Sibbald RG, Schater RK. The skin and diabetes mellitus. Int J Dermatol 1984;23:567–84.

Crock MA. Skin tags and atherogenic lipid profile. JChin Pathol 2000;53:873–4.

Sasmaz S, Buyukbee MA, Cetinkaya A, Celik M, Arican O. The prevalence of skin disorders in type 2 diabetic patients. Int J Dermatol 1982;7:427–55.

Huntley AC. The cutaneous manifestations of diabetes mellitus. J AM Acad Dermatol 1982;7:427–55.

Foss NT, Polon DP, Takada MH, Frois-Freites MC, Foss MC. Skin lesions in diabetic patients. Rev Saude Publica 2005;39:1–5.






Original Research