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South Med J. 2016 Oct;109(10):636-646. doi: 10.14423/SMJ.0000000000000541.

Diabetes Mellitus and the Skin: Recognition and Management of Cutaneous Manifestations.

Southern medical journal

William B Horton, Patrick L Boler, Angela R Subauste


  1. From the Department of Medicine, University of Mississippi Medical Center, Jackson, and the Department of Dermatology, Louisiana State University Health Sciences Center, New Orleans.

PMID: 27706502 DOI: 10.14423/SMJ.0000000000000541


Diabetes mellitus (DM) is a heterogeneous condition characterized by hyperglycemia as a consequence of defects in insulin secretion and variable degrees of insulin resistance. DM is the most common endocrine disorder in the United States, affecting 9.3% of the population (29.1 million people) in 2014. Skin disorders are present in 79.2% of patients with DM, and cutaneous disease may appear as the first sign of DM or develop at any time in the course of the disease. Given the increasing incidence and prevalence of DM in the United States, primary care physicians should be aware of the associated cutaneous manifestations. This clinical review provides a brief guide to primary care physicians for recognizing and managing skin conditions that they may encounter when caring for patients with DM.

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