RESUMEN
To determine the frequency of pityriasis versicolor [PV] in uncontrolled diabetes patients attending a tertiary care hospital. This descriptive, cross-sectional study was conducted in the Dermatology Department, Civil Hospital, Karachi and Diabetic OPD Civil Hospital, Karachi. Diabetic patients of ages 40-70 years, of either gender who presented in OPD were selected for study. Only those patients whose random blood sugar [RBS] was more than 200 mg/dl and whose duration of diabetes was more than 5 years were included in study. Patients who were taking corticosteroids or immunosuppressive drug were excluded from study. 119 patients were enrolled in study. Patients were examined for PV and skin scrapings were taken for microscopy. PV was detected in 5 out of 119 [4.2%] patients. Males were found to be affected more than females. There was no association between PV and duration of diabetes. Pityriasis versicolor is not very common in diabetic patients.
RESUMEN
Objectives: the study was carried out to evaluate the prevalence of dermatological problems in patients undergoing haemodialysis and to document the pattern of these skin alterations
Study design: prospective, descriptive
Method: the study comprised of a total number of 300 clinically diagnosed cases of chronic renal failure belonging to either sex being managed by haemodialysis. A detailed dermatological examination of these patients was carried out. The results were recorded on a preformed performa
Results: there were 169 males and 131 females with the age range of 10-80 years. Maximum duration of dialysis was 9 years and minimum 1 month. Xerosis [90.66%] was the most common finding. Pruritus was present in [64.66%]. Hyperpigmentation esp. diffuse [54%], oral lesions [69.3%] including xerostomia and gingival friability, nail changes [61.6%], including pale nails, polished nails and half and half nails and hair changes [56.6%], including dry coarse hair and loss of hair from scalp, arms and legs were also present. Other findings included haemorrhagic diathesis [easy bruisibility, bleeding gums and nasal bleeding], purpuric lesions, excoriation marks, lichenification, AV Shunt complications, cutaneous infections, hypopigmentation, delayed wound healing, hyperpigmented macules on palms and soles, calcinosis cutis, gynaecomastia, solar keratosis and kyrles disease
Conclusion: there is a high prevalence of cutaneous changes in patients undergoing haemodialysis. At least one cutaneous change was found in 96% of patients. Xerosis was the most common finding followed by pruritus, diffuse hyperpigmentation, xerostomia, easy bruisibility, pale nails and half and half nails