The Skin and Diabetes Mellitus

by Arthur C. Huntley M.D.

Dermatology Online Journal, December 1995
Volume 1, Number 2

IMAGE INDEX: DIABETES MELLITUS

All images come in three resolutions: Image size is determined by your display. The image headings and numbering corresponds to that found in the photoessay. The additional images have an appended letters.

INDEX

thick skin

acanthosis nigricans
finger pebbles
scleredema of diabetes
diabetic hand syndrome

vascular manifestations

periungual erythema
diabetic dermopathy
pigmented purpura

neuropathy

sensory neuropathy
motor neuropathy
Charcot foot

infection

Candida albicans infection
malignant external otitis
Staphylococcus and Streptococcus
dermatophyte

yellow nails and skin

yellow nails
yellow skin

necrobiosis lipoidica

necrobiosis lipoidica

spontaneous blisters

spontaneous blisters of the extremities

granuloma annulare

granuloma annulare

Kyrle disease

Kyrle disease

insulin side effects

cutaneous side effects of insulin

thick skin

acanthosis nigricans in patient with diabetes mellitus fig1: acanthosis nigricans of the neck
L M S

fig2: acanthosis nigricans of the dorsum of the hand
L M S

finger involvement of acanthosis nigricans - close-up

fig3: acanthosis nigricans, proximal nail fold
L M S

finger pebbles fig4: finger pebbles, knuckle
L M S

fig 4a: finger pebbles, knuckles
L M S

fig 4b: finger pebbles, knuckle
L M S

fig 4c: finger pebbles, knuckle
L M S

fig 4d: finger pebbles, knuckle
L M S

fig 4e: finger pebbles, knuckle
L M S

fig 4f: finger pebbles, knuckle
L M S

proximal nail fold thickening, pebbles

fig5: finger pebbles, proximal nail fold
L M S

fig 5a: finger pebbles, proximal nail fold
L M S

fig 5b: finger pebbles, proximal nail fold
L M S

fig 5c: finger pebbles, proximal nail fold
L M S

fig 5d: finger pebbles, proximal nail fold
L M S

fig 5e: finger pebbles, proximal nail fold
L M S

finger pebbles: histology

fig 6: finger pebbles, knuckle skin
L M S

fig 6a: finger pebbles, knuckle skin, low power
L M S

fig 6b: finger pebbles, knuckle skin, medium power
L M S

fig 6c: finger pebbles, knuckle skin, high power
L M S

fig 6d: finger pebbles, knuckle skin, high power
L M S

using ultrasound to measure skin thickness

fig7: placement of ultrasound transducer
L M S

fig8: ultrasound display
L M S

finger pebbles, thick skin on dorsum of foot.

fig9: finger pebbles, knuckle
L M S

fig 10: pebbles, proximal nail fole of great toe
L M S

scleredema of diabetes mellitus fig 11: scleredema, back
L M S

fig12: scleredema, back
L M S

fig 13: scleredema, back
L M S

fig 14: scleredema, back
L M S

diabetic hand syndrome: thick skin fig 15: taught skin, finger
L M S

fig 16: taught skin, finger
L M S

fig17: taught skin, finger
L M S

diabetic hand syndrome: joint limitation

fig 18: joint limitation, fifth finger
L M S

fig 19: joint limitation, hands
L M S

fig 20: joint limitation, hands
L M S

vascular manifestations

erythema of the proximal nail fold fig 21: periungual erythema
L M S

fig 22: diabetic nailfold capillaries
L M S

dermopathy

fig 23: diabetic dermopathy
L M S

fig 24: diabetic dermopathy
L M S

fig 25: diabetic dermopathy
L M S

fig 26: diabetic dermopathy
L M S

fig 27: diabetic dermopathy
L M S

fig 27a: diabetic dermopathy
L M S

fig 27b: diabetic dermopathy, close
L M S

fig 27c: diabetic dermopathy, close
L M S

a.pigmented purpura fig 28: pigmented purpura, shin
L M S

fig 29: pigmented purpura, shin
L M S

fig 30: pigmented purpura and dermopathy
S M L

fig 30a: pigmented purpura, close
L M S

fig 30b: pigmented purpura, close
L M S

neuropathy

sensory neuropathy fig 31: sensory neuropathy, toe ulcer
L M S

fig 32: sensory neuropathy, erosions on dorsum of toes
L M S

fig 32a: sensory neuropathy, toe ulcer
L M S

motor neuropathy fig33: motor neuropathy, cocked toes
L M S

fig 33a: motor neuropathy, cocked toes
L M S

Charcot foot fig 34: Charcot foot
L M S

fig 34a, Charcot foot
L M S

fig 34b: Charcot foot
L M S

infection

Candida albicans fig 35: Candida infection of groin
L M S

fig 36: Candida infection of glans penis
L M S

fig 37: Candida infection of interdigital space of fingers.
L M S

malignant external otitis fig 38: Pseudomonas external otitis with polyp formation
L M S

staph and strep fig 39: abscess of forearm
L M S

fig 40: leg ulcer with lymphangitis
L M S

fig 41: paronychia and cellulitis/lymphangitis of finger
L M S

dermatophyte infection fig 42: tinea on dorsum of hand
L M S

yellow nails and skin

nails Fig 43: yellow toenail
L M S

Fig 44: yellow fingernail
L M S

fig 45: yellow vs. normal fingernail
L M S

fig 46: yellow toenail
L M S

fig 46a: yellow and green discoloration, diabetes, tinea, and pseudomonas
L M S

fig 46b: yellowing of distal aspect of toenails
L M S

fig 46c: yellow/brown discoloration of distal toenail
L M S

fig 46d: yellow toenail, diabetes and fungus
L M S

fig 46e: yellow toenail, diabetes and fungus
L M S

fig 46f: yellow nail and pebbling of proximal nail fold of hallux
L M S

fig 46g: distal yellowing of toenail
L M S

yellow skin fig 47: yellow palm
L M S

fig 48: yellow vs. normal palm
L M S

fig 49: yellow skin and yellowing of distal nail, hallux
L M S

necrobiosis lipoidica

fig 50: necrobiosis lipoidica with ulcer, shin
L M S

fig 51: necrobiosis lipoidica of legs
L M S

fig 52: necrobiosis lipoidica, early papular lesion, leg
L M S

fig 53: necrobiosis lipoidica, leg, close view
L M S

fig 53a: necrobiosis lipoidica, leg, close view
L M S

fig 53b: necrobiosis lipoidica, leg, close view
L M S

fig 53c: necrobiosis lipoidica, leg
L M S

fig 53d: necrobiosis lipoidica, leg
L M S

fig 53e:necrobiosis lipoidica, leg, non-diabetic
L M S

fig 53f53e:necrobiosis lipoidica, leg, non-diabetic
L M S

spontaneous blisters

fig 54: diabetic bulla, leg
L M S

fig 55: diabetic bulla, leg, ruptured
L M S

fig 56: diabetic bulla, leg, ruptured with cellulitis
L M S

fig57: diabetic bulla, foot
L M S

fig 58: diabetic bulla, foot, close view
L M S

fig 59: diabetic bulla of leg
L M S

fig 60: erosion of skin by removal of adhesive tape, adjacent to bulla
L M S

granuloma annulare

fig 61: granuloma annulare, dorsum of hand
L M S

fig 62: granuloma annulare, dorsum of hand
L M S

fig 63: disseminated granuloma annulare, back and shoulder
L M S

fig 64: disseminated granuloma annulare, back, close view
L M S

fig 64a: granuloma annulare, single lesion
L M S

fig 64b: granuloma annulare, single lesion
L M S

fig64c: disseminated granuloma annulare
L M S

fig 64d: disseminated granuloma annulare
L M S

histology of granuloma annulare

fig 65: granuloma annulare, histology
L M S

fig 66: granuloma annulare, histology, close view of dermis
L M S

Kyrle disease

fig 67: Kyrle disease, lower extremity
L M S

insulin side effects

fig 68: fat atrophy, abdominal wall
L M S

fig 69 (and fig 39): abscess of forearm at site of insulin injection
L M S 

All contents copyright © 1995.
Dermatology Online Journal
University of California Davis