Title: Clinical Study of Rheumatological Manifestations in Type 2 Diabetes Mellitus Patients
Authors: Ravi Kumar C, Dilip M Rampure
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.60
Abstract
Objectives: Type 2 diabetes mellitus is associated with various rheumatological manifestations that are debilitating and affect the quality of life. The present study was conducted to find the prevalence of rheumatological manifestations in type 2 diabetics and to study its correlation with the duration of diabetes.
Methods: 100 type 2 diabetics and 50 age and sex matched non diabetics were examined for rheumatological manifestations during the period august 2014 to august 2015 in mamata general hospital, khammam. Apart from routine investigations renal function tests, fasting and postprandial blood glucose, rheumatoid factor, serum uric acid and x-rays of involved joints wherever required were done.
Results: Rheumatological manifestations were seen in 31% of patients with type 2 diabetes mellitus compared to 16% in non diabetics. Periarthritis of shoulder was seen in 18% diabetics compared to 4% in nondiabetics and was statistically significant. It was the most common manifestation among type 2 diabetics accounting for 55% of the cases. Diffuse idiopathic skeletal hyperostosis was observed in 3% of diabetics and none of the non diabetics. Osteoarthritis of knee was noted in 8% of diabetics compared to10% of non diabetics. Carpal tunnel syndrome was seen in 3% of diabetics and 2% non diabetics. Dupuytren’s contracture, cheiroarthropathy and flexor tenosynovitis was not found in both the groups. The manifestations were more predominant in females 43.6% as compared to males 23%. Majority of the diabetic patients with rheumatological manifestations 32.25% were noted to have 1 to 5 years of duration of the disease which was not statistically significant.
Conclusion: Rheumatological manifestations are more prevalent in type 2 diabetics than non diabetics especially periarthritis of shoulder. They are predominantly seen in females and have no correlation to the duration of diabetes mellitus.
Keywords: Diabetes, Rheumatological manifestations, Periarthritis of shoulder, diffuse idiopathic skeletal hyperostosis, Osteoarthritis of knee, Carpal tunnel syndrome
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