Dupuytren's contracture in a patient with type 2 diabetes mellitus--a case report

Dupuytren's contracture is one of the manifestations of the hand syndrome in diabetes mellitus (DM). Its occurrence in diabetes mellitus is not commonly reported in this environment. This report aims to highlight the occurrence of Dupuytren's contracture as a rare manifestation of diabetic...

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Bibliographic Details
Published inNigerian journal of medicine Vol. 16; no. 4; p. 384
Main Authors Puepet, F H, Uloko, A E, Yiltok, S J, Mijinyawa, B
Format Journal Article
LanguageEnglish
Published Nigeria 01.10.2007
Subjects
Diabetes Complications
Diabetes Mellitus, Type 2 - physiopathology
Dupuytren Contracture - etiology
Dupuytren Contracture - surgery
Humans
Male
Middle Aged
Risk Factors
Syndrome
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Summary:Dupuytren's contracture is one of the manifestations of the hand syndrome in diabetes mellitus (DM). Its occurrence in diabetes mellitus is not commonly reported in this environment. This report aims to highlight the occurrence of Dupuytren's contracture as a rare manifestation of diabetic hand syndrome in a patient with type 2 DM. The case note of a patient with type 2 DM who developed Dupuytren's contracture in both hands and the available literature on the subject were reviewed. A 62-year-old Nigerian male Islamic Cleric with type 2 DM for sixteen years on follow-up at the Diabetes clinic of the Jos University Teaching Hospital (JUTH), Jos, developed flexion deformity involving both palms. His symptoms had progressed gradually over the preceding nine months before presentation. Physical examination revealed bilateral Dupuytren's contracture of the palms with hyperkeratosis and flexion deformities of the fingers. He was admitted to the surgical ward of JUTH and had surgery in the right hand. He is to have surgery in the left hand on a later date. Dupuytren's contracture is a rare presentation of diabetic hand syndrome. A careful hand examination by physicians in all DM patients for early diagnosis and treatment is recommended.
ISSN:1115-2613