Diabetes complications

Skin rash with diabetes mellitus: a photo of urticaria and pemphigus

The appearance of skin rash with diabetes, photos of which can be seen on the Internet, is a fairly common symptom. However, when a person develops a rash, it is impossible to talk about the development of an illness, since the main signs of the disease must always be present - frequent urination and a feeling of thirst.

It is very important to monitor the condition of your skin, in case of detection of suspicious spots or a rash, you should consult a doctor. After all, diabetes is a very cunning disease, with many symptoms.

Skin rash may appear both at the beginning of the development of pathology and during its progression. It depends on the individual characteristics of the person.

Causes of Skin Rash

In diabetes, the skin of a person becomes dry and rough, sometimes it peels off. In some patients, it becomes covered with red spots, acne appears on it. Girls and women experience hair loss, and they become brittle and dull. This process occurs due to the increased sensitivity of hair follicles in violation of metabolism.

If a patient has diffuse alopecia, then diabetes treatment is ineffective or complications begin to develop. The initial stage of the disease is characterized not only by skin rashes, but also by itching, burning, long healing of wounds, fungal and bacterial infections.

Skin rashes in diabetes mellitus can be caused by different reasons. The main factors include:

  1. Macro and microangiopathy. With the development of pathology and frequent increase in blood sugar levels, capillaries do not receive the necessary energy, the source of which is glucose. Therefore, the skin becomes dry and itches. Then, spots and acne appear.
  2. Damage to glucose molecules. It is a very rare cause of such a symptom. There is a possibility of sugar penetration into some skin layers, which causes internal irritation and microdamages.
  3. Microbial infection. In diabetes, the body's defenses are weakened, so the patient often suffers from colds. In addition, due to scratching of the skin rash, wounds appear that get various infections, releasing toxic products of their vital activity there.

In addition, the cause of lesions can be multiple organ failure. With the development of this pathology often affects the liver.

As a result, the appearance of various eruptions on the body, which indicate a rapid increase in blood sugar.

Types of lesions on the body of the patient

After identifying the causes of skin rashes, their appearance should be determined, which can also indicate the stage of the disease and any complications. And so, there are such forms of skin rash:

  1. Primary. Occurs due to prolonged increase in glucose levels. The higher the blood sugar concentration, the more pronounced the rash becomes.
  2. Secondary. As a result of scratching the rash, wounds appear, in which bacteria settle. However, they do not heal for a long time. Therefore, it is important to take antibiotics, which will eliminate the bacteria, and only after that it will be possible to solve the problem of skin rash.
  3. Tertiary. Occurs due to the use of drugs.

In addition, additional symptoms that are accompanied by rashes on the body can be:

  • Burning and itching around rash.
  • Skin color changes, rash becomes red, brownish, bluish.
  • The rash may be all over the body, in the first place, appears on the lower extremities. This is due to the fact that the legs are far from the heart and most of all receive less nutrients and energy.

If such changes are detected on the skin, it is necessary to make an approach to the doctor who can refer the patient to follow-up diagnosis.

Rash with insulin resistance and poor circulation

In case of violations of the sensitivity of the cells of the body to insulin, the occurrence of the disease - acantokeratodermia. As a result, the skin darkens, in some places, especially in the folds, seals appear. With this disease, the skin color in the affected area becomes brown, sometimes elevations appear. Often, this condition becomes similar to warts that occur in the groin, in the armpits and under the breast. Sometimes these signs can be seen on the fingers of a diabetic.

Acantokeratoderma can be a signal for the development of diabetes, therefore, if similar symptoms appear, you should quickly consult a doctor. In addition, acromegaly and Itsenko-Cushing syndrome can cause it.

Another serious disease is diabetic lipodystrophy, the development of which changes collagen and subcutaneous fatty tissue on the body, hands and feet. The upper layer of skin becomes very thin and red. With the defeat of the cover, the wounds heal very slowly due to the high probability of various infections getting into them.

Diabetic dermopathy is another disease that develops as a result of changes in blood vessels. The main symptoms are round redness, thin skin, persistent itching.

Many patients may suffer from sclerodactyly. This disease is characterized by thickening of the skin on the toes of the hands. In addition, it tightens and becomes waxy. The treatment of this pathology is aimed at reducing blood glucose, and the doctor may prescribe cosmetics to moisturize the skin.

Another companion of the disease can be rash xanthomatosis. With high insulin resistance, fats may not be fully excreted from the bloodstream. The disease is manifested by waxy plaques on the back of the hands, the folds of the limbs, face, legs, buttocks.

Sometimes diabetic pemphigus is possible, the symptoms of which are blisters on the fingers and toes, legs and forearms. This disease is common in patients with severe or advanced form of diabetes.

Above were given far from all diseases that develop with the "sweet disease". This list is about the most common pathologies that most diabetics suffer from.

Differential diagnosis

Against the background of diabetes, other diseases may appear. Therefore, skin rash does not always indicate the progression of the "sweet disease".

An experienced doctor will be able to differentiate the rash in the presence of diabetes with other diseases such as:

  1. Measles, scarlet fever, rubella, erysipelas. In determining the disease an important role is played by the presence or absence of an elevated sugar content.
  2. Various blood diseases. For example, in thrombocytopenic purpura, a red rash occurs, which is many times smaller than that in diabetes.
  3. The presence of vasculitis. When capillaries are damaged, a small red rash appears on the skin. To identify pathology, the doctor should carefully examine the patient.
  4. Fungal diseases. To accurately diagnose, it is necessary to take a sample for analysis. It is not difficult for a doctor to determine the fungus, since clear outlines of invasion appear on the skin.
  5. Dermatitis in diabetes. For example, urticaria is manifested by a reddish rash, as in diabetes mellitus.

If the attending physician doubts the cause of the rash, whether it is diabetes or another disease, he prescribes additional tests to establish the correct diagnosis.

Treatment of Diabetes Rash

The initial factor for the appearance of lesions on the skin is hyperglycemia - a steady increase in blood sugar. It is necessary to deal with it, bringing the glucose content to normal.

To do this, combine an active lifestyle with rest, eat right, constantly check sugar levels and take medicines depending on the type of pathology.

In addition to the normalization of blood sugar levels, in the event of various complications, the following therapies can be used:

  • anti-inflammatory drugs;
  • antibacterial ointment;
  • antiallergic and antihistamine medications;
  • anesthetic gels.

As soon as the patient noticed that his body began to pour, it is necessary to contact your doctor. This can be a sign of the development of diabetes or its complications, as well as other equally dangerous diseases that need to be addressed. The video in this article will show how the dangers of the skin are in diabetes.

Watch the video: Inflammatory autoimmune diseases of the skin (November 2019).