J Korean Diabetes.  2013 Dec;14(4):182-185. 10.4093/jkd.2013.14.4.182.

Rheumatic Manifestations of Diabetes

Affiliations
  • 1Division of Rheumatology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. kimhaerim@kuh.ac.kr

Abstract

Rheumatic manifestations are common clinical problems in patients with diabetes, especially in patients with long disease duration and poor glycemic control. The pathogenesis of rheumatic diseases in diabetes is still unclear, however, several factors can contribute to the disease such as microvascular injury, the accumulation of advanced glycation end-products, the complications of diabetic polyneuropathy, genetic predisposition, and shared common risk factors. The rheumatic conditions that are reviewed in this article include diabetic cheiroarthropathy, trigger finger, Dupuytren's contracture, carpal tunnel syndrome, adhesive capsulitis, diffuse idiopathic skeletal hyperostosis, neuropathic arthropathy, and gouty arthritis. The incidence of common rheumatic diseases, such as osteoarthritis and rheumatoid arthritis, is not increased in patients with diabetes. Because rheumatic conditions affect quality of life and functions of diabetes patients, physicians need to pay attention to clinical manifestations, diagnosis and management of these rheumatic diseases.

Keyword

Diabetes mellitus; Rheumatic diseases; Arthralgia; Pain

MeSH Terms

Arthralgia
Arthritis, Gouty
Arthritis, Rheumatoid
Bursitis
Carpal Tunnel Syndrome
Diabetes Mellitus
Diabetic Neuropathies
Diagnosis
Dupuytren Contracture
Fingers
Genetic Predisposition to Disease
Humans
Hyperostosis, Diffuse Idiopathic Skeletal
Incidence
Osteoarthritis
Quality of Life
Rheumatic Diseases
Risk Factors

Reference

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