Revista da Sociedade Portuguesa de Endocrinologia Diabetes e Metabolismo

Online first

Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo - Online first: 2022-07-18
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Yellow skin as a rare Diabetes Mellitus’s manifestation

Fernandes S, Patronillo C, Seara V, Coelho √

Abstract

Hospitalized 76-year-old female with long-time known type 2 (non-insulin-dependent) Diabetes mellitus, with organ damage (Retinopathy). During internment for confusional syndrome with 1 month of duration, evolves with hyperglycemia of difficult control and yellow palms and soles. No jaundice or other skin alterations associated were found. Yellow skin can occur in association with carotenemia, hypothyroidism, diabetes mellitus, and liver or kidney disease. The patient was treated with insulin and oral hypoglycemic agents with an improvement in the glycemic measures and yellow skin discoloration during hospitalization.

Portuguese abstract

Mulher de 76 anos, com antecedentes de Diabetes mellitus tipo 2 de longa data (n√£o insulina tratada), com les√£o de √≥rg√£o alvo (Retinopatia). Durante o internamento devido a S√≠ndrome Confusional com 1 m√™s de evolu√ß√£o, a doente evolui com hiperglicemia de dif√≠cil controlo e cor amarela das palmas e plantas. Sem evid√™ncia de icter√≠cia ou outras altera√ß√Ķes cut√Ęneas associadas. A colora√ß√£o amarela da pele pode ocorrer na depend√™ncia de caroten√©mia, Hipotiroidismo, Diabetes mellitus e Doen√ßas hep√°tica ou Renal. A doente iniciou insulinoterapia e antidiab√©ticos orais com melhoria do perfil metab√≥lico e resolu√ß√£o da descolora√ß√£o cut√Ęnea, ainda durante o internamento.