Study of Mucocutaneous Manifestations in Diabetes Mellitus

Introduction: Diabetes mellitus is the most common endocrine disorder with increasing incidence. 30% of diabetic persons have some type of mucocutaneous involvement from trivial to life threatening during the course of their chronic disease. Aims Of The Study:To study the prevalence of mucocutaneous manifestations in Diabetes mellitus in our locality and to analyse the histopathological spectrum of these lesions. Materails and Methods: It is a prospective study of diabetic patients with mucocutaneous lesions attended to Government General Hospital, Rangaraya Medical College, Kakinada over a period of two years from August 2013 – July 2015. By applying exclusion and inclusion criteria, we collected the material from 163 cases by FNAC, scrape cytology and punch biopsy depending on the type of lesion. Culture and sensitivity and gram staining were also done in necessary cases. Results and analysis: After exclusion of 3 cases due to inadequate material obtained, total 160 cases results were analysed. Analysis show mucocutaneous lesions have slightly more predilection for Male gender (57%) and age group between 51-60 yrs(41%). Infections were the most common lesions in diabetics constitutes 48%, dermatophytes(45%) and candida species (39%) were the most common pathogens. Discussion: Most of the parameters were correlated with other studies. Conclusion: 1.Diabetics are susceptible to mucocutaneous lesions that are uncommon in non diabetics . 2. Whenever any patient present with multiple mucocutaneous manifestations , check for diabetes immediately.