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Analysis Study Research Paper | Diabetology | India | Volume 12 Issue 7, July 2023 | Rating: 5.7 / 10
Prevalence of Diabetic Cheiroarthropathy in Patients of Diabetes Mellitus and Its Correlation with Diabetic Triopathy
Dr. Pashaura Singh Sandhu [2] | Dr. Sunil Suman | Dr. Surinder Kumar Salwan [2]
Abstract: Background: Diabetic mellitus can lead to a myriad of complications (both microvascular and macrovascular). Diabetic cheiroarthropathy is a musculoskeletal complication of diabetes characterized by limited movement of the joints of the hands along with thickening of the skin on the palmar and dorsal surfaces. Studies have found an association between diabetic cheiroarthropathy and microvascular complications of diabetes. The present study was conducted to study the prevalence of diabetic cheiroarthropathy in patients of diabetes mellitus and its correlation with diabetic triopathy. Materials & Methods: This was conducted on 200 patients in the department of Medicine, Government Medical College, Amritsar. The study protocol was approved by the institutional ethics committee. The patients were enrolled in the study after obtaining written informed consent. All the patients were interviewed and examined for peripheral neuropathy, retinopathy by ophthalmoscopy and presence of albuminuria. The results were then analyzed. Results: Out of 200 patients, 104 patients had cheiroarthropathy. Majority of the patients with cheiroarthropathy (33) were in the age group 61 - 70 years. The mean age of patients with and without cheiroarthropathy were 61.3?13.6 years and 45.8?9.8 years, respectively (p value= 0.000). Proteinuria was present in 102 patients (1+ in 13 patients, 2+ in 40 patients, 3+ in 37 patients, and 4+ in 12 patients). With respect to retinopathy, mild NPDR was present in 24 patients, moderate NPDR in 45 patients, severe NPDR in 20 patients, and proliferative diabetic retinopathy (PDR) in 1 patient. Diabetic neuropathy was present in 16 patients. The mean diabetes? duration in absence of cheiroarthropathy was 4.3?2.5 years, while in presence of cheiroarthropathy it was 12.6?5.7 years (p value= 0.000). Conclusion: Advancing age plays in the determination of the severity of diabetic cheiroarthropathy. Also, as the incidence of diabetic cheiroarthropathy rises with the increase in the severity of diabetic retinopathy, cheiroarthropathy can be utilised as a marker for indirect proof of the existence of diabetic retinopathy. Diabetic cheiroarthropathy have a positive correlation with neuropathy and increasing grades of proteinuria, suggesting that cheiroarthropathy can also be used as a proxy for their existence.
Keywords: Diabetes mellitus, Diabetic neuropathy, Diabetic nephropathy, Diabetic retinopathy, Cheiroarthropathy
Edition: Volume 12 Issue 7, July 2023,
Pages: 1676 - 1679