DESCRIPTIVE STUDY ON DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS IN TYPE 2 DIABETES MELLITUS PATIENTS

Dr.M.SARAVANAN; Dr.B.SENTHIL KUMAR

Volume : IX, Issue : VI, June - 2020

DESCRIPTIVE STUDY ON DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS IN TYPE 2 DIABETES MELLITUS PATIENTS

Dr. M. Saravanan, Dr. B. Senthil Kumar

Abstract :

INTRODUCTION: Diabetes Mellitus is a common endocrine disease. Incidence is increasing in india. Chronic diabetes patients are having many rheumatological problems. Diffuse idiopathic skeletal hyperostosis is one of it[1]. AIM: To asscess , the prevalence of DISH in chronic diabetes patients, symptom analysis, clinical presentation and functional disability caused by Diffuse idiopathic skeletal hyperostosis(DISH) in long standing Type 2 Diabetes mellitus patients. METHOD OF STUDY: Detailed history taking, clinical examination, basic blood investigation, blood sugar fasting & post prandial,HbA1c,and spinal xrays were done in all patients. RESULTS: 2 patients had Diffuse idiopathic skeletal hyperostosis(DISH). 6 patients had Trigger nger. Carpal tunnel syndrome was in 5 patients. 2 patients had Deputeran contracture. Frozen shoulder was in 5 patients. 2 patient was suffering from Charcot arthropathy of ankle joints. Diabetic cheiro arthropathy was in 4 patients CONCLUSION: If Type2 Diabetes mellitus patients have the complaint of chronic back pain ,annual spinal xrays imaging is helpful to detect early DISH. Spine X rays are the best screening tool to detect early DISH.