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1、SkindiseasescommonlyseenindiabeticpatientsDr.AuTakShingMBBS(HK),MRCP(UK),FHKCP,FHKAM(Medicine),FRCP(Edin),DipDerm(Lond),DipGUM(LSA),DCH(Lond),DFM(CUHK),SpecialistinDermatologyandVenereologySkindiseaseandDMSkinmanifestationsofDMSkindiseaseassideeffectsoftreatmentforDMTreat
2、mentofskindiseaseresultinginDMDermatophyteinfectionTineaiscommoninDMpatientsMaynotbemorecommonthangeneralpopulationNeedfortreatmentisevenstrongerWatchoutforsecondarybacterialinfectionInfectionornot?DistributionisaveryimportantclueDistributionFungalinfectionisusuallyasymme
3、tricalDermatitisisusuallysymmetricalorcorrespondingtotheprimarycauseDistributionisaveryimportantclueMorphologyofanindividuallesionInfectionornot?CandidiasisMorecommoninDMpatientsVulvo-vaginitisBalano-posthitisCanbethefirstsignofDMDiabeticdermopathyQuitecommonMultiple,asym
4、ptomatic,irregularlyshaped,discrete,atrophic,brownmaculesresemblingscarsShinsIntimalthickeninganddepositionofPAS-positivefibrillarymaterialinvesselwallsMicroangiopathyelsewhereAcanthosisnigricansVelvetyhyperpigmentationofintertriginousareasLessoftenonextensorsurfacesCommo
5、nlyassociatedwithinsulinresistanceObesity,darkly-pigmentedpatientsDiabeticbullaeBullousdiabeticorumNon-inflammatorybullaeonlowerextremitiesPathologyuncertainBullouspemphigoidAutoimmuneprocessthataffectsthedermo-epidermaljunctionElderlyMultipleintactbullaeInvestigation:ski
6、nbiopsyforhistologyandimmunofluorescencestudyTreatment:oralsteroid+/-otherimmuno-suppressantsNecrobiosislipoidicaYellowatrophicpatchesoftenonshinsErythematousborderUlcerationNotalwaysassociatedwithDMDisseminatedgranulomaannulareAnnularlesionscomposedofpapulesUsuallysmooth
7、surfaceControversyaboutrelationwithDMNeuropathiculcersNon-painfululcersatfeetPressurepointsAcraldrygangreneDuetovasculardiseaseEruptivexanthomasReddishyellowpapulesDevelopingoverweekstomonthsElevatedserumtriglyceridesinpatientswithpoorlycontrolledDMGoodcontrolofDMleadstor
8、esolutionContactDr.AuTakShingUnit502,HingWaiBuilding,36Queen’sRoadCentral,HK(tel:28100680)香港中環皇后
