Istoricul obstetrical sărac, tulburările dermatologice şi diabetul zaharat de tip 2

Abstract

Aims. To demonstrate the coexistence of skin disorders and diabetes mellitus (DM) in women with poor obstetric history. Methodology. This retrospective study comprised 69 women having poor obstetric history and skin disorders. The patients were grouped as control group (51 women without type 2 DM, with 84 skin disorders in total) and study group (18 women with type 2 DM, with 30 skin disorders in total). Skin disorders were grouped as follows: herpes zoster, viral warts, fungal diseases, melanocytic nevi, bacterial infections, hidradenitis suppurativa, dermatitis, psoriasis, lichen planus, urticaria, hair and nail disorders, acneiform diseases, epidermal cyst, melanine hyperpigmentation, hypertrophic disorders of the skin, mycosis fungoides and vitiligo. Beksaç Obstetric Index (BOI), which is “(the number of living child + π/10)/gravida”, was used for the evaluation of obstetric history. Results. The rate of DM was found to be 26.1% in this specific study population. We have demonstrated multiple skin disorders in 50% (9/18) of DM (+) women, while this rate was 37.3% (19/51) in the DM (-) women (p=0.504). A total of 114 skin disorders in 69 women were evaluated, and the rates of the dermatitis (38.9% versus 19.6%) and acneiform diseases (27.8% versus 13.7%) were found to be more frequent in DM (+) patients compared to DM (-) women (p>0.05, for all). Conclusions. Skin disorders are easy to detect in medical examinations and can be used as a remark for the investigation of DM, especially in women with poor obstetric history.