2 Cases of Bullosis Diabeticorum following Long-Distance Journeys by Road : A Report of 2 Cases
Joint Authors
Samaila, O. Modupe
Lawal, Yakubu
Nkoro, U. Kufre
Bello, Fatima
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Bullosis diabeticorum is a distinct, spontaneous, noninflammatory, and blistering condition of acral skin that is unique to diabetics.
It is rare.
Exact aetiopathogenesis is not known, but many attributed peripheral neuropathy as a potent risk factor, others hypothesized the role of trauma, UV light, and nephropathy.
Aim.
To present cases of bullosis diabeticorum following long-distance journeys by road.
Methods.
History and physical examinations were done on 2 diabetics who presented with bilateral feet bullae following a long journey.
Biopsy of a circumferential area of the bullae including adjoining apparently normal skin was done.
Results.
Features of peripheral neuropathy were noted.
One developed digital gangrene without features of peripheral vascular disease.
Culture of aspirate from a bullae yielded Staphylococcus aureus.
Tissue biopsy showed hyperkeratotic focally acanthotic pigmented epidermis with subcorneal separation of the granular layer of the epidermis by aggregates of viable and nonviable polymorphs and lymphocytes.
There is mild acantholysis of the epidermis, and a fibrocollagenous dermis which is moderately infiltrated by lymphocytes.
Conclusion.
Long journeys by road is a strong factor in the aetiopathogenesis of bullosis diabeticorum on a background of peripheral neuropathy.
Diabetics especially those with peripheral neuropathy should be cautious while traveling long journeys by road.
American Psychological Association (APA)
Bello, Fatima& Samaila, O. Modupe& Lawal, Yakubu& Nkoro, U. Kufre. 2012. 2 Cases of Bullosis Diabeticorum following Long-Distance Journeys by Road : A Report of 2 Cases. Case Reports in Endocrinology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-466334
Modern Language Association (MLA)
Bello, Fatima…[et al.]. 2 Cases of Bullosis Diabeticorum following Long-Distance Journeys by Road : A Report of 2 Cases. Case Reports in Endocrinology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-466334
American Medical Association (AMA)
Bello, Fatima& Samaila, O. Modupe& Lawal, Yakubu& Nkoro, U. Kufre. 2 Cases of Bullosis Diabeticorum following Long-Distance Journeys by Road : A Report of 2 Cases. Case Reports in Endocrinology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-466334
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-466334