An overlooked rheumatologic manifestation of diabetes: diabetic cheiroarthropathy

GÖKÇEN N., ÇETİNKAYA ALTUNTAŞ S., COŞKUN BENLİDAYI İ., SERT M., NAZLICAN E., SARPEL T.

CLINICAL RHEUMATOLOGY, cilt.38, sa.3, ss.927-932, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 38 Sayı: 3
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1007/s10067-019-04454-z
  • Dergi Adı: CLINICAL RHEUMATOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.927-932
  • Anahtar Kelimeler: Diabetes mellitus, Diabetic cheiroarthropathy, Function, Hand, Prediabetes, LIMITED JOINT MOBILITY, MUSCULOSKELETAL MANIFESTATIONS, MELLITUS
  • Çukurova Üniversitesi Adresli: Evet

Özet

ObjectivesThe objectives of the study were to analyze the clinical characteristic of diabetic cheiroarthropathy (DCA) in patients with type 1 diabetes mellitus (DM), type 2 DM, and prediabetes and to evaluate the frequency of DCA among groups.MethodThe cross-sectional study was conducted at the Division of Endocrinology and Metabolism outpatient clinic over a 14-month period. A total of 239 patients (160 female, 79 male), who had type 1 DM, type 2 DM, and prediabetes, were enrolled. The demographics, clinical variables, and laboratory outcomes were recorded. Diabetic cheiroarthropathy was defined according to physical examination. The functional disability of patients with DCA was assessed by the self-administered questionnaire (disabilities of the arm, shoulder and hand-DASH).ResultsDiabetic cheiroarthropathy was determined in 35.1% of all patients. The frequency of DCA was higher in patients with prediabetes (x(2)=0.009, post hoc power=0.794). According to the logistic regression analysis, prediabetes (OR=4.52, 95% CI 2.16-9.47, p<0.001), presence of polyneuropathy (OR=3.82, 95% CI 1.61-9.07, p=0.002), and fasting glucose level (OR=1.01, 95% CI 1.00-1.01, p=0.004) found as the most effective risk factors in determining DCA. DASH disability scores were significantly higher in prediabetic patients than that in type 2 DM group (p=0.021).ConclusionHigh frequency of DCA and impaired hand function are observed in prediabetic patients. Musculoskeletal manifestations can emerge as an early sign of diabetic status. Also, people who suffer from hand involvement should be examined for diabetes along with rheumatologic diseases.