ECE2021 Audio Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (223 abstracts)
Diabetic bullosis: about 2 cases
Imen Chabchoub 1 , Mouna Elleuch 2 , Dhoha Ben Salah 2 , Wajdi Safi 2 , Nadia Charfi 2 , Mouna Mnif 2 , Hadj Kacem Faten 2 , Nabila Mejdoub 2 & Abid Mohamed 2
1Hedi Chaker Hospital, Internal Medicine, Sfax; 2Hedi Chaker Hospital, Endocrinology And Diabetes, Sfax, Tunisia
Introduction
Dermatological manifestations associated with diabetes affect approximately 30% of patients. Diabetic Bullosis is a rare complication of diabetes. It is a rare bullous dermatosis charecterised by the occurrence of bubbles on healthy skin with variable levels of cleavage.
Objective
We propose to study the epidemiological, clinical and evolutionary characteristics of Diabetic Bullosis in diabetic patients who are followed up at the Endocrinology Department of Sfax, Tunisia.
Patients and methods
Descriptive, retrospective study of diabetic patients over a period of 15 years (2005–2019). The disease was retained clinically.
Results
Diabetic bullosis was found in 2 male patients aged 69 and 87 years respectively at the time of diagnosis of bullosis. One was type 1 diabetic and the other type 2 diabetic. The diabetes had been progressing for 10.5 years. The recommended therapy was empirical insulin therapy in 1 case, oral antidiabetic drugs relayed by insulin in 1 case. Diabetes was complicated by sensitive polyneuritis in gloves and socks in one case and diabetic nephropathy in another case. No other skin or osteo-articular complications were objectified. Clinically, the skin lesions presented as multiple bullous lesions, without inflammatory areola, with clear content, occurring on healthy skin sitting on the hands in one case and on the big toe in another case. Therapeutically, local care was recommended in both cases, combined with antibiotic therapy in one case due to bacterial superinfection. An improvement of the lesions occurred in 1 case.
Conclusion
The bullosis of diabetics is a characteristic skin complication of diabetes. Its etiology is still unknown. Its evolution is benign and its treatment remains essentially preventive.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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