Seven Cases of Diabetic Scleredema Suggested to Be Accompanied by Subcutaneous Insulin Absorption Disorder, in which a Change of the Injection Method was Effective

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  • インスリン投与法の変更が有効であり吸収障害が示唆された糖尿病性浮腫性硬化症の7例

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Description

We report here seven patients with diabetic scleredema, namely, four men and three women, in the age range of 55-87 years old, who showed resistance to treatment by insulin injections. In these patients, the injection sites were rotated appropriately and there were no obvious traumata or scars. However, histological examination showed thickening of the dermis, which led to the diagnosis of diabetic scleredema. Speculating that the thickened dermis might have caused the poor response to insulin, we provided the patients with instructions to change or adjust the angle or the site of injections, which proved to be successful. Although diabetic scleredema generally involves the posterior neck, we speculate that it can involve a more extensive region. Therefore, in diabetic patients with resistance to insulin therapy, diabetic scleredema is to be considered a potential cause of subcutaneous insulin absorption disorder.Skin Research, 14: 79-84, 2015

Journal

  • Hifu no kagaku

    Hifu no kagaku 14 (2), 79-84, 2015

    Meeting of Osaka Dermatological Association/Meeting of Keiji Dermatological Association

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