اليد السكرية : انتشارها في عينة من مرضى الداء السكري النمط 2 في مشفيي الأسد و المواساة الجامعيين في دمشق
Other Title(s)
The diabetic hand : prevalence among a sample of diabetes mellitus type 2 patients in Almouassat and Alassad Damascus university hospitals
Joint Authors
Source
Issue
Vol. 29, Issue 1 (30 Jun. 2013), pp.57-70, 14 p.
Publisher
Publication Date
2013-06-30
Country of Publication
Syria
No. of Pages
14
Main Subjects
Abstract EN
Background & Objective: To study the prevalence of the diabetic hand in a group of type 2 diabetics, comparing to age- sex matched non-diabetics control group, and to investigate clinical features among diabetics with or without the diabetic hand.
Methods & Materials: A case-control descriptive study was carried out.
A group of 186 type 2 diabetics and a control group of 200 age – sex matched non-diabetics were included.
All candidates were either outpatients or inpatients who attended Almousat and Alassad Damascus university hospitals during one year period (November 2009 – November 2010).
Results: The average age of type 2 diabetic patients and non-diabetic controls was 55.02 ± 9.52 year and 56.99 ± 10.60 year respectively.
The duration of type 2 diabetes was one to 30 years (8.14 ± 6.29 year).
Hemoglobin A1C average was 7.55 ± 1.25 %.
When the prevalence of the diabetic hand was compared between type 2 diabetics and non-diabetics controls it was three folds and a half higher in the first group (26.34% vs 7.5%, P< 0.0001).
While limited joint mobility was the first most frequent among type 2 diabetics and it was 10 folds higher among them comparing to non-diabetics control (11.82% vs 1%, P<0.0001), flexor tenosynovitis was the second in frequency in type 2 diabetes and it was significantly higher (10.21%) compared to non-diabetics (4%) (P<0.05).
Dupuytren's contracture was rare (1.07% in diabetics vs non in the control).
The prevalence of carpal tunnel syndrome was nearly the same in diabetics and non-diabetics (3.22% vs 2.5%).
The diabetic hand was associated with both duration and poor control of type 2 diabetes (P<0.05), and it was also associated with diabetic neuropathy and nephropathy (P<0.003 and P< 0.0002 respectively).
However, it was not associated with diabetic cardiovascular complications and retinopathy.
Conclusion: The prevalence of diabetic hand was higher in type 2 diabetics compared to non-diabetics control, and it was associated with diabetes poor control, duration, nephropathy, and neuropathy.
Key words: Diabetic hand, diabetes mellitus type 2, limited joint mobility, flexor tenosynovitis, trigger finger, Dupuytren’s disease, and carpal tunnel syndrome
American Psychological Association (APA)
ريما السيد حسن والعرفي، زينب. 2013. اليد السكرية : انتشارها في عينة من مرضى الداء السكري النمط 2 في مشفيي الأسد و المواساة الجامعيين في دمشق. مجلة جامعة دمشق للعلوم الطبية،مج. 29، ع. 1، ص ص. 57-70.
https://search.emarefa.net/detail/BIM-744985
Modern Language Association (MLA)
ريما السيد حسن والعرفي، زينب. اليد السكرية : انتشارها في عينة من مرضى الداء السكري النمط 2 في مشفيي الأسد و المواساة الجامعيين في دمشق. مجلة جامعة دمشق للعلوم الطبية مج. 29، ع. 1 (2013)، ص ص. 57-70.
https://search.emarefa.net/detail/BIM-744985
American Medical Association (AMA)
ريما السيد حسن والعرفي، زينب. اليد السكرية : انتشارها في عينة من مرضى الداء السكري النمط 2 في مشفيي الأسد و المواساة الجامعيين في دمشق. مجلة جامعة دمشق للعلوم الطبية. 2013. مج. 29، ع. 1، ص ص. 57-70.
https://search.emarefa.net/detail/BIM-744985
Data Type
Journal Articles
Language
Arabic
Notes
يتضمن مراجع ببليوجرافية : ص. 69-70
Record ID
BIM-744985