For example, it can damage blood vessels, leave you more prone to infections, and slow down wound healing. When the immune system doesnt work properly, small issues can grow into larger ones. The appearance of diabetic dermopathy can vary from person to person. This photo contains content that some people may find graphic or disturbing. In some cases, creams may help lighten the affected areas. The medical name for this condition is xanthelasma. It can smooth out deep wrinkles and lines, but the results arent permanent. Diabetic dermopathy does not typically itch, burn, or sting. What it looks like: Measles causes flat, red spots that cover huge swaths of skin. It is not harmful but can be a symptom of more serious complications. AN also causes thickening of the skin. If your doctor determines you have diabetic dermopathy, they may forgo a biopsy. Women are likely to get this in their vaginas. As a result, there may be stiffness in the joints, making it harder to bend your fingers. Diabetes self-management includes: Healthy coping: The hormones produced when youre stressed may cause your blood glucose to go up. Good management of diabetes in regulating blood sugar levels may help decrease the likelihood of developing diabetic dermopathy. Diabetic dermopathy doesnt usually cause symptoms like burning, stinging, or itching. Unlike the blisters that develop after a burn, these blisters are not painful. Red wine and type 2 diabetes dont go very well together because of sugar, but red wine might reduce heart disease risk. Get your blood sugar under control, because that can help treat this condition. The patches are slightly scaly and are usually round or oval. Acanthosis nigricans is a fairly common skin pigmentation disorder. There is no treatment for AN. Gaining better control of diabetes can reduce dryness. 2012 Jan;57(1):20-5. doi:10.4103/0019-5154.92671. Diabetes-related dermopathy itself is harmless. This may involve using the right balance of moisturizers . Red Wine and Type 2 Diabetes: Is There a Link? Sometimes, the top of your knuckles will look strange. Steroid creams, ultraviolet light treatments, and micropigmentation (tattooing) are a few treatment options. When legions are multiple and bilateral, they may either be painless due to cutaneous nerve damage, which is often the case, or they can be extremely painful. Nail infections: A fungal infection in the toenails, such as onychomycosis, may cause your toenails to be discolored, thickened, or cracked. Its important to eat a healthy, well-balanced diet. If you have signs of diabetes-related dermopathy, be sure to contact your healthcare provider. Natalie tried many acne products without success. Youll want to take steps to prevent an infection. How Are Your Body Organs Affected by Diabetes? A board-certified dermatologist can recognize skin problems due to diabetes and help you manage them. When the thickening skin develops on a finger, toe, or other area with joints, physical therapy can help you keep your ability to bend and straighten the joint. While there is no specific treatment for diabetic dermopathy, it is still important to remember that controlling your diabetes is important to prevent other complications of diabetes. You can expect permanent results in all but one area. They can itch, spread, and worsen if not treated with prescription medication. Slightly indented into your skin and/or somewhat scaly. Kalus AA, Chien AJ, et al. Massage of female foot. Microvascular complications are related to the very small blood . Although bacteria and fungi are usually recognized and stopped by the immune system, when blood sugars are out of control (above 180 mg/dL to 200 mg/dL), the immune system doesn't work as well, Dr. Siegel explains. It may show up on the ears, hands, and torso. Minor skin injuries and some medicines might trigger the condition. If you buy through links on this page, we may earn a small commission Heres our process. Acanthosis nigricans: This condition is most common in people with type 2 diabetes. These are known as shin spots and may be oval or circular. In time, ulcers can form for example, if the skin breaks. Scleredema diabeticorum: This condition causes a thickening of the skin on the back of the neck and upper back. Athletes foot: Not limited to athletes, this fungal infection may cause cracks, itchiness, and flaky skin between the toes and on bottom of the feet. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. Healthline only shows you brands and products that we stand behind. Pain. Policy. What Are the Symptoms of Uncontrolled Diabetes? Common symptoms of diabetes that may aid in the diagnosis of diabetic dermopathy include: Because diabetic dermopathy is an asymptomatic and benign condition, it requires no treatment. Certain skin conditions can only be caused by diabetes and these include:. See how one patient learned to manage her weight and diet. When spots develop on the body, they often form bilaterally, meaning they occur on both legs or both arms. New York: McGraw-Hill, 2003. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes-2022. Theyre harmless, and medications are available for treatment. The following OTC remedies can help manage certain skin conditions associated with type 2 diabetes: In some cases, a doctor will prescribe medications or other treatments such as: Some conditions may benefit from specific treatments. The patches arent usually painful. Shira Eytan, M.D. Over time, high blood sugar can cause damage throughout your body. Up to 17 percent of lesions disappear without intervention, as long as there is no ulceration. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Most commonly, these bacteria are Staphylococcus, or staph. Nerve and blood vessel damage occurs from chronically elevated blood sugar that is characteristic of diabetes and results in widespread inflammation throughout the body. Changes in the small blood vessels can impact the eyes and kidneys. Your body may also have a harder time healing from an infection, Dr. Siegel states: Hyperglycemia definitely can worsen a pre-existing infection in terms of its ability to heal up.. For example, wearing knee-length socks or shin pads may offer protection when playing sports or engaging in other physical activity. Its vital that you keep your diabetes well-managed, which involves regularly monitoring your blood sugar. Poor blood supply to the skin can cause changes in the collagen and fat underneath. You may develop one lesion or clusters of lesions on the shin and other parts of your body. However, if your diabetic dermopathy is caused by trauma or injury, there are preventive measures you can take. doi: 10.2337/dc22-S007. By Kristen Gasnick, PT, DPT Treatment usually isn't needed, but sometimes a steroid medication you put on your skin, such as hydrocortisone, can help. However, as lesions clear up, new ones may form. Is there a link, and what can you do to get rid of them? Most lesions are found on the lower parts of the legs and can turn into an ulcer if theres trauma. The . Because it is a benign condition, not threatening to life or health, skin biopsies are rarely performed, especially because patients with diabetes commonly have delayed wound healing. Vitiligo is a skin disorder that causes white spots or large areas of depigmentation to occur on various areas of the body. Bacterial infections: Staphylococcus skin infections are more common and more serious in people with poorly controlled diabetes. Last reviewed by a Cleveland Clinic medical professional on 03/28/2022. Your healthcare provider will ask you questions about your medical history and your skin spots. No. Recognizing when you need to make changes in your lifestyle habits can help you reach your blood glucose goals. Heres how long botox tends to last. This condition is linked with many complications, both microvascular and macrovascular. High blood pressure. For example, it is more likely to occur in people who also have retinopathy, neuropathy, or kidney disease. They usually occur on the feet, but can also occur on the shins or calves. Yosipovitch G, Loh KC, et al. Long-standing patches may become faintly indented (atrophic). What to Know About the Dexcom Glucose Monitor from Nick Jonas Super Bowl Ad. The American Diabetes Association recommends that people with diabetes get 150 minutes of moderate to vigorous activity every week. Diabetes can cause long-term damage, from foot to nerve complications. There is currently no cure or treatment for acanthnosis nigricans, although weight loss may help improve the condition. This could mean that: If you notice any of the following warning signs on your skin, it's time to talk with your doctor. The following are infections that people with diabetes may experience: Boils: A boil is a pus-filled bump on the skin similar to a large, painful pimple. While the exact cause of NLD is unknown, it shares a complicated relationship with diabetes. An itchy rash and sometimes tiny blisters, dry scaly skin, or a white discharge that looks like cottage cheese Sometimes, its called diabetic bullae. Managing blood glucose levels may help reduce the risk of these blisters. Tell your doctor about the yellowish scaly patches around your eyes. It often affects people with obesity and may go away if a person loses weight. New research finds that previous studies may have underestimated how effective the Mediterranean diet is for lowering your risk of type 2 diabetes. Lifestyle changes: Treating any diabetes-related skin condition will include managing blood glucose levels. Poor circulation and nerve damage can make it hard for your body to heal wounds. Remember that what may be occurring on the skins surface might reflect what is happening in the body. Characteristics of the diabetes-related dermopathy spots that develop on your skin include spots that are: The spots last for many months. Diabetic blisters may show up on your hands, feet, legs, or arms. Talk with your doctor about how to better control your diabetes. Unlike pimples, they soon develop a yellowish color. You may also need physical therapy. When diabetes affects the skin, it's often a sign that your blood sugar (glucose) levels are too high. A rash of several spots usually appears as raised patches that are shiny red-brown in colour. Use these professionally produced online infographics, posters, and videos to help others find and prevent skin cancer. 2014;14:95-97. doi:10.15277/bjdvd.2014.027, Timshina DK, Thappa DM, Agrawal A. The rash often appears on the face near the hairline, then spreads down to the feet. Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. The first sign is spots, or papules, up to 3 mm across that then expand to become yellow-brown patches with a waxy center. If you havent been diagnosed with diabetes, get tested. On average, diabetes-related dermopathy patches tend to fade after one to two years, but they can remain on your skin for longer. Those with diabetes are at an increased risk for bacterial or fungal skin infection. Having a skin biopsy also can increase the risk of infection afterward. McGeorge S. et al. Diabetic dermopathy is a condition characterized by small, brown skin lesions on the shins of patients with diabetes. Over time, poor circulation can reduce the bodys wound-healing abilities. Though lesions primarily form on the shins, they can be found on other parts of the body, too. Brady MF, Rawla P. Acanthosis Nigricans. Diabetic dermopathy occurs on both shins in an asymmetrical pattern, but it has also been reported on the thighs, arms, and abdomen in rare cases. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. This may include walking, gardening, yoga, swimming, and weightlifting. Morgan AJ and Schwartz RA. Diabetes can cause many other skin problems. It is especially common in overweight people with type 2 diabetes. 2022 Jan 1;45(Suppl 1):S97-S112. Diabetes-related dermopathy can look similar to other skin conditions, so your provider will want to be sure of the diagnosis. While its cause is unknown, research shows it may be due to poor circulation that . Use lip balm to prevent chapped lips. The brown skin spots may have thickened, velvety skin that can appear in skin folds on your neck, armpits, groin, or other body creases. This condition is fairly common and is basically a darkening of the skin at particular points on the body, where the skin folds. Treatment options include applying lotions or moisturizers and managing blood sugar levels. (2018). The type of skin condition you have will determine the treatment. Dermatologists treat diabetics who develop slow or non-healing wounds and other complications with their skin. These have a red border and a shiny, yellowish center, and they probably won't go away. Hot, swollen skin that is painful (2020). Br J Diabetes Vasc Dis. The treatment is to bring your blood sugar levels under control. Signs & Symptoms. Why You Should Give Skin a Closer Look, How Diabetes Can Aggravate Common Skin Problems, Styes, which are infections of the eyelid glands. Cleveland Clinics Endocrinology & Metabolism Institute is committed to providing the highest quality healthcare for patients with diabetes, endocrine and metabolic disorders, and obesity. Several studies, however, have found this skin condition in patients who have diabetes. Available from: Association of Diabetes Care and Education Specialists, Kolb L. An Effective Model of Diabetes Care and Education: The ADCES7 Self-Care Behaviors. A skin biopsy is used to diagnose NLD, which can also be the first sign of diabetes in some patients. You may also notice: Treasure Island (FL): StatPearls Publishing; 2022 Jan-. 2003 - 2023 Diabetes.co.uk - the global diabetes community. Diabetic dermopathy is a common condition in people living with diabetes. Initially, red-brown patches between 1-3mm develop over months or years, but these can increase in size and become progressively yellow and shiny. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. As NLD occurs in patients without diabetes the first case of this was in 1935 it can be referred to as necrobiosis lipoidica. Diabetes-Related dermopathy is a skin condition that affects the small blood vessels in the legs. For this reason, if you have type 2 diabetes, its important to watch out for: Scientists think diabetes may make the immune system less effective at fighting infections. Your provider might perform a skin biopsy on one or more of the spots to rule out other possible skin conditions. There are a few different skin conditions linked with diabetes. Last modified on October 10th, 2022 at 7:16 pm. Find support, ask questions and share your experiences with 350,000+ members of the diabetes community. These bumps may appear red or red-brown on lighter skin tones or pink or purplish on darker skin tones, or they may be the same color as your skin. Poor circulation may also cause itchiness in the skin. New skin problems may also appear. The patches don't hurt, and they rarely cause itching or burning. The Hypo Program is the world's first and only structured education program. The key is to catch them early. Theres no treatment for diabetes-related dermopathy, but makeup and moisturizer can help with its appearance. Last medically reviewed on September 27, 2022. The following picture gallery contains common examples of diabetic dermopathy: Even though diabetic dermopathy is common when youre living with diabetes, the exact cause of this condition is unknown.
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