Abstract:

Objective: Diabetes Mellitus (DM) and Thyroid Disease (TD) are common chronic metabolic disorders. Patients with Type II DM or TD were inrolled in our study to determine dermatological findings which may be associated with the diagnosis, prognosis and complications of these diseases. Methods: Type II DM (n=100) and TD (n=100) patients were enrolled in the study and a detailed dermatological examination was done. The files of all patients were retrospectively reviewed in terms of demographic data, disease-specific history, accompanying diseases, medications and laboratory findings. Results: The most frequently observed dermatological findings were fibroma molle (%51), onicomycosis (%38) and hemangioma (%33) in DM group and nail findings (%64), hair loss (%45), xerosis (%37) and plantar hyperkeratosis (%37) in TD group. While onicomycosis (p=0,030) and tinea pedis (p=0,003) were more frequent in DM group, nail (p=0,001) and hair findings (p=0,001) were more frequent in TD group. Conclusion: Mycotic infections which cause significant morbidity and mortality especially in older diabetic patients were determined at higher rates in our study. Screening for mycotic infections in patients with DM should be a routine part of the dermatological examination. In addition we assumed that it would be more appropriate to research for thyroid disease in patients presenting with signs and symptoms of hair loss, changes in the structure of hair and nails

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