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Clinical Images Volume 5 Issue 6
Diabetic hand: an entity more common than thought
Julio Palacios Juarez,1
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Jesus Morales Maza,2 Jessica E Figueroa Estrada,3 Emmanuel Armando Flores Gonzalez,4 Mauricio Zuniga Zamora,5 Cristian B Castro Jadan,5 Ludivina A Cortes Martinez6
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1Department of Plastic and Reconstructive Surgery, Hospital Regional de Alta Especialidad de Ixtapaluca, Mexico
2Department of Surgery, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico
3American British Cowdray Medical Center, Mexico
4Department of Plastic and Reconstructive Surgery, Hospital General de Cuautla, Morelos
5Department of Surgery, Hospital Regional de Alta Especialidad de Ixtapaluca, Mexico
6Department of Anesthesiology, Hospital Angeles Lomas, Mexico
Correspondence: Julio Palacios Juarez, Department of Plastic and Reconstructive Surgery, Hospital Regional de Alta Especialidad de Ixtapaluca, Mexico
Received: October 17, 2017 | Published: November 15, 2018
Citation: Juarez JP, Maza JM, Estrada JEF, et al. Diabetic hand: an entity more common than thought. J Diabetes Metab Disord Control. 2018;5(6):202. DOI: 10.15406/jdmdc.2018.05.00165
Keywords
diabetes, diabetic hand, neuropatia
Introduction
A 58-year-old female patient, with a history of type 2 diabetes, with a long history of poor medical management. She said she had not noticed any injuries in her hand. She went to medical examination for referring severe edema in the right hand, accompanied by erythema of predominance in the back, pain to the passive mobilization and paresthesias in the fingers. Upon examination, the patient had edema of fingers, pain in the trajectory of the tendinous sheath and pain to the passive extension Figure 1. Patient presented a palmar punctate lesion with a spine injuring the tendinous sheath of the 3rd deep flexor that was not treated on time and was generalized by developing an infectious tenosynovitis of the hand. Diabetic hand is an increasingly common condition in developing countries because a great percentage of its population suffers from this disease, in which there is peripheral neuropathy that generates inadvertent lesions that are usually infected with multiple bacteria.
Figure 1 Diabetic Hand.
Acknowledgements
None.
Conflict of interest
Author declares there is no conflict of interest.
©2018 Juarez, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.