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1、SkindiseasescommonlyseenindiabeticpatientsDr.AuTakShingMBBS(HK),MRCP(UK),FHKCP,FHKAM(Medicine),FRCP(Edin),DipDerm(Lond),DipGUM(LSA),DCH(Lond),DFM(CUHK),SpecialistinDermatologyandVenereologySkindiseaseandDMSkinmanifestationsofDMSkindiseaseassideeffectsoftreatmentforDM
2、TreatmentofskindiseaseresultinginDMDermatophyteinfectionTineaiscommoninDMpatientsMaynotbemorecommonthangeneralpopulationNeedfortreatmentisevenstrongerWatchoutforsecondarybacterialinfectionInfectionornot?DistributionisaveryimportantclueDistributionFungalinfectionisusu
3、allyasymmetricalDermatitisisusuallysymmetricalorcorrespondingtotheprimarycauseDistributionisaveryimportantclueMorphologyofanindividuallesionInfectionornot?CandidiasisMorecommoninDMpatientsVulvo-vaginitisBalano-posthitisCanbethefirstsignofDMDiabeticdermopathyQuitecomm
4、onMultiple,asymptomatic,irregularlyshaped,discrete,atrophic,brownmaculesresemblingscarsShinsIntimalthickeninganddepositionofPAS-positivefibrillarymaterialinvesselwallsMicroangiopathyelsewhereAcanthosisnigricansVelvetyhyperpigmentationofintertriginousareasLessoftenone
5、xtensorsurfacesCommonlyassociatedwithinsulinresistanceObesity,darkly-pigmentedpatientsDiabeticbullaeBullousdiabeticorumNon-inflammatorybullaeonlowerextremitiesPathologyuncertainBullouspemphigoidAutoimmuneprocessthataffectsthedermo-epidermaljunctionElderlyMultipleinta
6、ctbullaeInvestigation:skinbiopsyforhistologyandimmunofluorescencestudyTreatment:oralsteroid+/-otherimmuno-suppressantsNecrobiosislipoidicaYellowatrophicpatchesoftenonshinsErythematousborderUlcerationNotalwaysassociatedwithDMDisseminatedgranulomaannulareAnnularlesions
7、composedofpapulesUsuallysmoothsurfaceControversyaboutrelationwithDMNeuropathiculcersNon-painfululcersatfeetPressurepointsAcraldrygangreneDuetovasculardiseaseEruptivexanthomasReddishyellowpapulesDevelopingoverweekstomonthsElevatedserumtriglyceridesinpatientswithpoorly
8、controlledDMGoodcontrolofDMleadstoresolutionContactDr.AuTakShingUnit502,HingWaiBuilding,36Queen’sRoadCentral,HK(tel:28100680)香港中環皇后
