Type 2 diabetes mellitus (DM2) comprises most cases of all DM and is largely the result of excess body weight and physical inactivity. Pathogenesis of itch in DM is not fully understood, although in DM, the underlying pathophysiology, course of disease, comorbidities, complications and treatment used all tend to predispose patients to itch development. DM constitutes a worldwide public health problem affecting 382 million people (8.3% of the world’s population) in 2013 with a projected increase to 592 million people (10.1%) in 2035. Due to these reasons, physicians treating patients with DM may underestimate its frequency and clinical meaningfulness.
Diabetic feet itch skin#
Conclusions: We suggest that the primary cause of itch is prolonged poor diabetes control with altered glucose and insulin levels, subsequently causing skin dryness and neuropathy in long-lasting DM2.ĭespite the growing interest in itch, data on itch in diabetes mellitus (DM) is rather limited and mostly based on outdated studies. Itchy subjects had significantly higher scores in both anxiety and depression dimensions of HADS (in each p < 0.01). The mean ItchyQol score was assessed as 41.2 ± 13.4 points, indicating mild life quality impairment and correlated positively with itch intensity. Skin xerosis was significantly more advanced in patients with itch compared to those without ( p < 0.01). Patients with itch had a significantly higher possibility of neuropathy compared with non-itchy subjects ( p < 0.01). Itchy patients have had significantly higher FPG levels compared with the non-itchy population ( p = 0.01). Results: Itch occurred in 35.8% of adult patients with DM2, with NRS max three days 6.31 ± 2.16 and 8.1 ± 3.5 points in 4IIQ. Neuropathy was assessed using the clinical Katzenwadel neuropathy scale. Skin dryness was evaluated clinically and by non-invasive assessment of epidermis moisturizing. Standardized questionnaires were completed in order to assess the itch intensity and the Four-item Itch Questionnaire (4IIQ) and to assess the psychological impact of itch. Methods: The study group consisted of 109 adult patients with DM2. This study aimed to evaluate the clinical characteristics of itch in the adult population with DM2 and explore potential underlying causes. Mayo Clinic 2010.Background: Despite growing interest in itch, data regarding itch in type 2 diabetes mellitus (DM2) are still limited, and mostly based on outdated studies. Oral treatments for fungal infections of the skin of the foot. Topical treatments for fungal infections of the skin and nails of the foot. If you live with others, don't share shoes or unwashed bedding and towels.
Apply a medicated foot powder (Tinactin, Gold Bond, others) or other medicated powder (Lotrimin AF, Zeasorb, others) if you're prone to athlete's foot. Use warm, soapy water and rinse and dry your feet thoroughly, especially between the toes. When you can, wear sandals to let your feet air out as much as possible. These tips can help you avoid athlete's foot or avoid spreading it to others: It's common for the infection to spread from the feet to the groin because the fungus can travel on hands or towels.Īthlete's foot can sometimes lead to bacterial infections. Jock itch is often caused by the same fungus that results in athlete's foot. The athlete's foot infection can spread to other warm, moist parts of the body. Walk barefoot in public areas where the infection can spread, such as locker rooms, saunas, swimming pools, communal baths and showers.Share mats, rugs, bed linens, clothes or shoes with someone who has a fungal infection.You are at higher risk of athlete's foot if you:
You can also spread it from the foot to other parts of the body, especially if you scratch or pick the infected parts of your foot. Damp socks and shoes and warm, humid conditions favor the organisms' growth.Īthlete's foot is contagious and can spread through contact with an infected person or from contact with contaminated surfaces, such as towels, floors and shoes. Athlete's foot is caused by the same type of fungi (dermatophytes) that cause ringworm and jock itch.
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