Dermatological Issues in a Child with Diabetes Mellitus

January 2003 in “ Springer eBooks ”

Pearl Kwong

diabetes mellitus limited joint mobility necrobiosis lipoidica diabeticorum bacterial infections fungal infections diabetic dermopathy granuloma annulare staphylococcal infections malignant otitis externa periodontal disease erythrasma eruptive xanthomas acanthosis nigricans insulin allergy lipohypertrophy lipoatrophy DM LJM NLD

TLDR Children with diabetes often have skin problems, which can be better managed with good blood sugar control.

The document from 2003 discusses the range of skin conditions that can affect children with diabetes mellitus (DM), noting that these issues are quite common, with occurrences in 30% to 70% of individuals with DM. It details skin disorders directly linked to DM, such as limited joint mobility (LJM) and necrobiosis lipoidica diabeticorum (NLD), as well as conditions that arise due to the metabolic disturbances of DM, including bacterial and fungal infections. The document also describes skin disorders that are more frequent in individuals with DM but not exclusive to it, like diabetic dermopathy and granuloma annulare, and those related to DM complications or insulin therapy. It emphasizes the importance of tight blood sugar control to manage these conditions and reduce the risk of further complications. Specific conditions such as staphylococcal infections, malignant otitis externa, periodontal disease, erythrasma, eruptive xanthomas, and acanthosis nigricans are mentioned, along with insulin-related skin issues like insulin allergy, lipohypertrophy, and lipoatrophy. The document underscores the significance of recognizing these dermatological manifestations for effective management of DM in children and adolescents.

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