Document Detail


Prevalence of rheumatic conditions in patients with diabetes mellitus in a tertiary care hospital.
MedLine Citation:
PMID:  21888166     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Musculoskeletal disorders are common in diabetic subjects. The pathophysiology of these disorders in diabetic patients is not obvious. It could be due to connective tissue disorders, glycosylated end products, vasculopathy, neuropathy or combinations. A wide range of musculoskeletal syndromes have been described in association with diabetes, namely diabetic cheiro-arthropathy, adhesive capsulitis of shoulder, carpal tunnel syndrome, Dupuytren's contracture, hyperostosis, osteo-arthritis, hyperuricaemia, etc. This study was undertaken to find out the prevalence of these conditions in diabetes mellitus and to look for any associations with diabetic complications or therapy. A tertiary care centre-based cross-sectional study was carried out among 100 consecutive diabetic patients (WHO criteria) attending medicine department who were enrolled. The study was done at Calcutta National Medical College and Hospital, Kolkata, from March 2008 to February 2009. The diagnoses of the rheumatic conditions were made by unbiased clinical observations on the basis of standardised case definitions or criteria. Limited joint mobility (29%), adhesive capsulitis (18%), and osteo-arthritis of knee (27%) or hand (17%) were the most common rheumatic conditions in diabetics. Trigger finger (flexor tenosynovitis) and carpal tunnel syndrome were also present in 7% and 5% cases of diabetics respectively. Although hyperuricaemia was present in 9%, clinical gout was present in only 4%. There was no clear association of these syndromes with diabetic renal disease or micro-albuminuria. Most of these conditions were noted in chronic long duration diabetic subjects.
Authors:
Subhabrata Ray; Ananta Kr Datta; Pradyot Sinhamahapatra; Indranil Ray; Pradip Mukhopadhyay; Somnath Dasgupta
Related Documents :
3235476 - The effects of flosequinan and nifedipine on glucose tolerance in healthy volunteers.
3884646 - Hyperthyroid graves' disease causes insulin antagonism.
19595686 - A comparison of glycemic control, water retention, and musculoskeletal effects of balag...
1308266 - Thermal effect of glucose in women with normal carbohydrate tolerance: relationship to ...
18779946 - Socioeconomic inequalities in diabetes mellitus across europe at the beginning of the 2...
16916956 - The novel roles of liver for compensation of insulin resistance in human growth hormone...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Indian Medical Association     Volume:  109     ISSN:  0019-5847     ISO Abbreviation:  J Indian Med Assoc     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-09-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505608     Medline TA:  J Indian Med Assoc     Country:  India    
Other Details:
Languages:  eng     Pagination:  74-8     Citation Subset:  IM    
Affiliation:
Malbazar Subdivisional Hospital, Jalpaiguri 735221.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Hypothyroidism presenting as cardiac tamponade in Down syndrome.
Next Document:  Study of referral pattern to ophthalmology outpatient department from various departments in the med...