Folliculitis Furunculosis And Carbuncles
Folliculitis, furunculosis, and carbuncles are all infections that arise in the hair follicles. Sweat and other conditions that cause moisture on the skin , the shaving of hairy regions such as the underarms and legs, and the blockage of hairy areas by clothing, bandages, or casts or by lying or sitting in one spot for a long period of time can all increase the risk of an infection in the hair follicles.
Folliculitis is inflammation of the hair follicle that is characterized by the formation of a pustule or a group of pustules. Furunculosis is distinguished by the development of furuncles deep, red, hot, tender nodules that may develop from the pustules found in folliculitis. The nodules usually enlarge, become painful, and rupture after several days, forming abscesses . Furuncles generally occur on the neck, face, underarms, and buttocks. A carbuncle is a larger, painful, more serious lesion with a deeper base, generally occurring at the nape of the neck, on the back, or on the thighs. The area is red, swollen, and covered in pustules. Fever and a feeling of illness may also occur with a carbuncle.
When the lesions are large, painful, and fluctuant , draining them via surgery is usually the best option. In these cases, the person should receive antibiotics until all evidence of inflammation has disappeared. After the lesion is drained, the area should be covered with a thin layer of antibiotic ointment and a sterile dressing.
Ichthyosiform Changes Of The Shins
Ichthyosiform changes of the shins presents with large bilateral areas of dryness and scaling . Although cutaneous changes may occur on the hands or feet, the anterior shin is most classically involved. These cutaneous changes are related to rapid skin aging and adhesion defects in the stratum corneum . The prevalence of ichthyosiform changes of the shins in those with type 1 diabetes has been reported to be between 22% to 48% . These changes present relatively early in the disease course of diabetes. There is no known difference in prevalence between males and females . The development of ichthyosiform changes of the shins is related to production of advanced glycosylation end products and microangiopathic changes. Treatment is limited but topical emollients or keratolytic agents may be beneficial .
Skin Care Tips For People With Diabetes
If you have diabetes, good skin care is an important part of managing your disease. These tips can help keep your skin soft, calm and infection free.
Keep your blood sugar under control. Follow your doctors plan to manage your blood sugar levels. When your diabetes is well managed, your whole body, including your skin, benefits.
Take lukewarm showers and use a moisturizing soap. Hot baths and showers dry out the skin. Dry off well after your shower, especially under the arms and breasts and between the legs and toes.
Use a gentle moisturizer. A cream or ointment is preferable to a lotion since lotions contain more water. Ask your dermatologist for a recommendation. Dont moisture between your toes.
Avoid scratching if you can. Scratching can create openings in the skin that let in bacteria.
Consider using a humidifier in winter. Dry air can make dry skin worse.
Wash minor cuts right away with mild soap and water. Talk to your doctor about using an antibiotic cream or ointment. Cover the cut with a bandage. Deep cuts require professional treatment.
Practice good foot care. Examine your feet daily. Look for any cuts, blisters or sores. Unless the wound is minor and heals on its own, see a doctor right away. When you cut your toenails, cut them straight across and not too short. Smooth the corners with a nail file if necessary.
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What Does A Diabetes Rash Look Like
Diabetes rashes look different depending on the type and cause.
Some diabetes rashes only affect people with diabetes. They usually go away when blood sugar is under control. These rashes include:
- Blisters : Painless blisters may form on the backs of hands and feet and on the legs and forearms. This rare condition most often affects people who have diabetes-related neuropathy.
- Diabetes-related dermopathy: Light-brown, round-shaped scaly patches, like age spots, appear on the shins. These harmless spots dont need treatment.
- Digital sclerosis: Some people with Type 1 diabetes develop hardened, thick, waxy skin on the backs of their hands. The finger joints stiffen, making movement difficult. A related rash is scleredema adultorum of Bushke which is tightness, thickening, and hardening of the back, neck, shoulders and face. There are various treatments that dermatologists can provide for this.
- Necrobiosis lipoidica diabeticorum : This lower leg rash is more common in women. NLD causes raised, red, shiny patches with a yellow center. Blood vessels may be more noticeable. The rash may be itchy and painful. You should see a dermatologist for treatment options.
- Diabetes Foot Syndrome: These are ulcers that develop from trauma to the skin. The ulcers can take a long time to heal and there is an increased risk for infection.
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Other Serious Side Effects
Apart from DKA for people with type 2 diabetes, serious side effects of dapagliflozin are rare and happen in less than 1 in 10,000 people.
If you have type 2 diabetes, you will get an alert card. This is to show any health professionals involved in your care.
Tell your doctor or contact 111 now if:
- you have a very dry or sticky mouth, feel very thirsty, sleepy or tired, are not peeing , and have a fast heartbeat these can be signs of dehydration
- you have a high temperature or feel cold and shivery, get a burning feeling when peeing, have pain in your back or side, or blood in your urine these can be signs of a urinary tract infection
- you get severe pain, tenderness, redness, or swelling in the groin or perineal area accompanied by a high temperature or feeling unwell this may be a sign of a serious infection called Fournier’s gangrene
Go to 111.nhs.uk or call
Diabetes And Skin Infections
Studies suggest that more than half of people with diabetes will develop a skin infection at some point.
Scratching and dryness can create cracks that let bacteria in. Its not unusual for people with diabetes to develop bacterial infections such as folliculitis, boils and carbuncles.
Itchy fungal infections are also more likely in people with diabetes, possibly due to high blood sugar. Infections caused by the yeast-like fungus Candida albicans often crop up in areas with moist folds, such as the armpits, groin area, under the breasts and between the fingers and toes. Infections caused by mold-like fungi called dermatophytes include ringworm, jock itch and athletes foot.
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Diabetes Can Cause Neuropathy
Diabetes can cause nerve damage called neuropathy, a common diabetes complication. Sometimes the damage causes a loss of sensation in the feet. If you step on something and injure your foot or develop a blister, you may not be able to feel it. An open skin sore called a foot ulcer can develop and could get infected. Take a look at your feet every day to make sure they are not injured in any way.
What Is Diabetes Mellitus
Diabetes mellitus constitutes a collection of diverse disorders associated with an increase in blood glucose concentration.
Diabetes is associated with impaired carbohydrate, protein, and fat metabolism due to insufficient secretion of insulin or target-tissue insulin resistance. Complications of diabetes mellitus comprise both macrovascular and microvascular sequelae.
Type 1 diabetes mellitus is characterised by absolute insulin absence and is due to autoimmune beta-cell destruction. It typically presents with acute symptoms or ketoacidosis in childhood or adolescence, and lifelong insulin therapy is mandatory.
Type 2 diabetes mellitus is a common disorder categorised by insulin resistance and relative insulin deficiency. Patients are often asymptomatic and are diagnosed through screening. Strong risk factors include older age, obesity, physical inactivity, prior gestational diabetes, pre-diabetes, non-white ancestry, family history of diabetes, and polycystic ovary syndrome. Modification of cardiovascular risk factors are an important part of treatment, along with glycaemic control to prevent microvascular complications.
Type 2 diabetes is the main cause of type 2 diabetes in children, who are usually over 10 years of age. Acanthosis nigricans accompanies childhood diabetes in 9095%.
The increasing prevalence of diabetes requires targeted screening for detecting diabetes and prediabetes in risk groups to prevent and mitigate the progression of the disease.
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Diabetes can be managed through oral medications. In addition to insulin, metformin, which is a sugar-reducing agent, is also a common treatment for diabetes. It is considered a first-line therapy for diabetes treatment and is often added to insulin. It is important to know the risks of taking diabetes medications. Some drugs can be addictive, so you must consult your doctor before taking any medication. Your physician can prescribe you an appropriate treatment plan based on your medical history.
Your doctor will prescribe medication and check your blood glucose levels on a regular basis. Your A1c level will be checked every six months and your cholesterol levels will be tested regularly. Your doctor will also look for any signs of retinopathy, which is damage to the nerves in the eye caused by diabetes. You will also be examined for any foot problems. It is important to see a foot specialist regularly. Your feet should be thoroughly inspected for damage to the nerves.
While the first two types of insulin are the most common treatments, diabetes can be treated in a variety of ways. Your doctor may prescribe medications to control high blood pressure, which can protect the kidneys. Other types of medication include aspirin and other types of anti-platelet drugs. If your doctor is concerned about your blood sugar level, you may need to try a different medication. Some medications can cause side effects. Your treatment will depend on what type of insulin you need.
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Skin Discoloration And Changes In Texture
Diabetic dermopathy: Also known as shin spots, these diabetes skin symptoms involve light brown, oval or circular patches of scaly skin on the lower legs due to damage to the small blood vessels that supply the tissues with nutrition and oxygen. Although this form of diabetes-related skin discoloration typically does not require treatment, it may persist even when your blood glucose is well-controlled.1
Necrobiosis lipoidica diabeticorum : Though rarer than diabetic dermopathy, NLD also causes patches of dark skin on the legs, which are sometimes associated with extreme itching and pain. Though treatment is generally unnecessary, it is important to talk to your doctor about ways to prevent this condition from progressing.1
Acanthosis nigricans: This type of diabetes-related skin discoloration can present as raised patches of brown, tan or gray skin on the neck can, and can also appear in the groin and armpits as well as on the elbows and knees. The patches often have a velvety feel and appearance. This type of skin discoloration is more prevalent in diabetic patients who are obese.1
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Its important to maintain a healthy body weight. You should also make sure that you drink plenty of water, and limit your intake of sugary drinks. In addition, make sure that you get regular exercise. You should also avoid alcoholic beverages. Lastly, you should avoid alcohol. These beverages contain high amounts of sugar. If you dont drink enough, youre not doing anything to prevent diabetes. Besides, drinking alcohol can be harmful to your health.
The most important thing to do is to follow the recommended diet. Eat more healthy foods that have low amounts of fat and high amounts of fiber. The best way to lose weight is to lose 7 percent of your body weight. If youre overweight, you should try to lose 14 pounds to reduce your risk of developing type 2 diabetes. However, you should not attempt to lose weight while pregnant. Talk to your doctor about what kind of weight is safe for you.
Besides high blood glucose, diabetes can also affect the nerves and skin. It may affect your sexual response and your nervous system. It can also affect your fertility. Women with diabetes are more likely to miscarry or have a baby with a birth defect. It can cause a person to have difficulty hearing and sleep. If the condition is left untreated, it can lead to type 1 diabetes and can even lead to amputation.
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