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  1. Dupuytren's disease in type 1 diabetic patients : a five-year prospective study.

    Article - En anglais

    Objective

    To clarify which are the underlying factors in the development of Dupuytren's disease (DD) in diabetic patients and to evaluate if the presence of DD can predict the development of diabetic complications.

    Methods

    A total of 207 type 1 diabetic patients [age (mean ± SD) : 29.9 ± 9.5 years] was studied at baseline.

    A followup study was performed five years later in 166 patients.

    The presence of DD was examined and the patients were assessed in terms of the following diabetic complications : background and proliferative retinopathy, peripheral symmetrical polyneuropathy, and clinical nephropathy.

    Results

    The prevalence of DD was 4% at the baseline study.

    DD was significantly associated with the age of the patient and the duration of diabetes, but not with the age at the onset of diabetes, BMI or the control of diabetes.

    DD was associated with somatic peripheral symmetrical polyneuropathy (p<0.01), a history of myocardial infarction (p<0.01) and limited joint mobility (LJM) (p<0.05), but all of these associations could be exclusively explained by the age of the diabetic patients and the duration of diabetes.

    DD developed in 17 new subjects (2% per year) during the five years of the study.

    The subjects'age and the duration of diabetes were associated with the development of DD.

    There was a predominance of the development of DD in women (p<0.05), and in subjects with retinopathy (p<0.05), nephropathy (p<0.05), neuropathy (p<0.05) or hypertension (p<...

    Mots-clés Pascal : Diabète insulinodépendant, Homme, Association, Main Dupuytren maladie, Prévalence, Facteur risque, Epidémiologie, Evolutivité, Complication, Membre supérieur, Endocrinopathie, Immunopathologie, Maladie autoimmune, Système ostéoarticulaire pathologie, Juxtaarticulaire pathologie, Main pathologie

    Mots-clés Pascal anglais : Insulin dependent diabetes, Human, Association, Dupuytren contracture, Prevalence, Risk factor, Epidemiology, Evolutivity, Complication, Upper limb, Endocrinopathy, Immunopathology, Autoimmune disease, Diseases of the osteoarticular system, Juxtaarticular disease, Disease of the hand

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0195595

    Code Inist : 002B21E01B. Création : 199608.