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Endocrine emergencies with skin manifestations
Published in Biju Vasudevan, Rajesh Verma, Dermatological Emergencies, 2019
Limited joint mobility (LJM), or diabetic cheiroarthropathy, presents with mildly restricted extension of the metacarpophalangeal and interphalangeal joints that generally begins with involvement of the fifth digit and then progresses to involve all fingers. It is characterized by the “prayer sign.” It is caused by thickening of periarticular connective tissue causing stiffness [13].
Carpal tunnel syndrome in patients with and without diabetes mellitus in Upper Egypt: The impact of electrophysiological and ultrasonographical studies
Published in Alexandria Journal of Medicine, 2018
Abeer A. Tony, Effat A.E. Tony, Yasser A.R.M. Selim, Ehab Saad
Carpal tunnel syndrome (CTS) is the most common form of entrapment neuropathies.1 CTS is a combination of finger, hand, and arm distress with symptoms that reflect sensory or motor compromise.2 Female gender, obesity, increase of age, hypothyroidism, pregnancy, rheumatoid arthritis, osteoarthritis and occupational factors like repetitive work are identified as the main risk factors for CTS.3 In addition, previous studies stated that diabetes mellitus (DM) is also considered as a risk factor4–8 with a higher incidence of CTS in patients with pre-diabetes.9 A relationship between HbA1c, duration of DM, micro vascular complications and CTS had been stated.10 Entrapment disorders are highly prevalent in patients with diabetes, the most common neuropathy being carpal tunnel syndrome (CTS).11 However, Hendriks et al.3 reported that although type 2 diabetes was more frequently diagnosed among patients with carpal tunnel syndrome, it could not be identified as an independent risk factor. The high prevalence of CTS among patients with diabetes might be as a result of repeated undetected trauma, metabolic changes, accumulation of fluid or edema within the confined space of the carpal tunnel and /or diabetic cheiroarthropathy.11