Prevalence of Reumatological Manifestations Among Diabetes Mellitus

Abstract

Yaqoob Yousif Al-Kufi and Mohammad Abd Abdul-Hussain

Background: The Diabetes mellitus (DM) is a key secondary cause of many reumatological disorders especially osteoarthritis, shoulder hand syndrome, frozen shoulder, and trigger finger. Patients with diabetes commonly have Rheumatic complaints. They control good glycemic by doing exercises, following a diet, and taking medication which can improve or prevent the development of rheumatic conditions.
Aim of study: The current study aims at finding the frequency of rheumatic situations for diabetes mellitus.
Patients and methods: Hundreds of patients randomly were taken from the diabetic center of endocrinology at AL-Sadder teaching Hospital in Najaf city through the period of July 2010-March to 2011. Each patient subjected to complete clinical history, examinations, x-ray, height, weight and HbA1c measurement.
Results: prevalence of rheumatological manifestations in diabetic patients was osteoarthritis (40%),diabetic hand syndrome (16.8%),frozen shoulder (12%), shoulder hand syndrome (12%),trigger finger(7.2%),diffuse idiopathic skeletal hyperostosis(6.4%),Depatterns contracture (4.8%) and Charcot, s joint (0.8%).There was a significant relationship between osteoarthritis, the syndrome of diabetic hand, diffusing idiopathic skeletal hyperostosis at p value <0.007,0.019,0.027 respectively, and insignificant with frozen shoulder, Depatterns contracture, trigger finger, Charcot,s joint, shoulder hand syndrome at p >0.426,0.141,0.401,0.503,0.140 respectively among type 2 and type 1 diabetes mellitus .
Conclusion: Rheumatological disorders are a common complication of diabetes mellitus. They are directly interrelated to patient’s age, span of diabetes mellitus.