Title: Rheumatological Manifestations in Diabetic Population in a Tertiary Care Hospital

Authors: Faiyaz Ahmad Ansari, Naresh Kumar, Bhim Ram

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.27

Abstract

Rheumatological disorders in the patient of diabetes are very common still these are neglected.  This was an observational, prospective hospital based study conducted on 200 diabetic patients from IGIMS OPD, Department of Medicine and Department of Endocrinology. Females (60.5%) predominated the males (39.5%). Most of the patients were of type 2 Diabetes Mellitus. Mean age of the groups was 50.77 years, mean duration of Diabetes Mellitus was 76 months, mean Body Mass Index was 31.3kg/m2, and mean HBA1c of the groups was 8.07%. Osteoarthritis is the most commonly encountered Rheumatological manifestation in our study (43%) followed by frozen shoulder (30.5%) and limited joint mobility (20.5%). Flexor tenosynovitis was present in 6.5%, Diffuse idiopathic skeletal hyperostosis (DISH) was present in 8% and Dupuytren’s Contracture was present in 9.5%. Our study shows common rheumatological manifestation in Diabetes mellitus were Osteoarthritis, Frozen shoulder and Limited joint Mobility. Our study shows duration of diabetes has important risk factors for development of rheumatological manifestations.

Keyword: Diabetics, Rheumatological, Osteoarthritis, Frozen shoulder, Limited Joint Mobility, Flexor Tenosynovitis, DISH, Duputren’s Contracture.

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