Abstract

Tropical diabetic hand syndrome (TDHS) is a terminology used to describe a specific complication affecting patients with diabetes mellitus in the tropics. The syndrome encompasses a localized cellulitis with variable swelling and ulceration of the hands to progressive, fulminant hand sepsis, potentially fatal. Since this syndrome is less recognized it is often under-reported. Authors present two cases of TDHS and emphasize on aggressive glycemic control and surgical therapy to prevent potential crippling or fatal complications.

Highlights

  • Tropical diabetic hand syndrome (TDHS) is a terminology used to describe a specific complication affecting patients with diabetes mellitus in the tropics

  • “Tropical diabetic hand syndrome (TDHS) is a terminology used to describe a specific acute symptom complex found in diabetic patients in tropics which usually follows minor trauma to the hand, and is associated with a progressive synergistic form of gangrene.[1]

  • TDHS is less well recognized than foot infections and encompasses a localized cellulitis with variable swelling and ulceration of the hands to progressive, fulminant hand sepsis

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Summary

Tropical diabetic hand syndrome

Tropical diabetic hand syndrome (TDHS) is a terminology used to describe a specific complication affecting patients with diabetes mellitus in the tropics. The syndrome encompasses a localized cellulitis with variable swelling and ulceration of the hands to progressive, fulminant hand sepsis, potentially fatal. Since this syndrome is less recognized it is often under-reported. Authors present two cases of TDHS and emphasize on aggressive glycemic control and surgical therapy to prevent potential crippling or fatal complications

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