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Rheumatic Manifestations of Diabetes (Mimics, Common Culprits & More)

Michael J. Cammarata, MD  |  Issue: November 2024  |  November 11, 2024

Conclusion

The intersection of diabetes mellitus and rheumatic diseases presents a unique set of challenges for both diagnosis and management. The non-inflammatory rheumatic manifestations of diabetes, including diabetic cheiroarthropathy, scleredema and diabetic myonecrosis, can mimic rheumatic conditions and lead to significant functional impairment. Awareness and understanding of these manifestations are crucial for accurate diagnosis and to avoid unnecessary immunosuppression.

Likewise, carpal tunnel syndrome, Dupuytren’s contracture and trigger finger are common among patients with diabetes. By recognizing and addressing these musculoskeletal complications, providers can enhance the overall quality of life for patients with diabetes.

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Michael J. Cammarata, MD, is an assistant professor of medicine at the Johns Hopkins School of Medicine, Baltimore.

References

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  4. American Diabetes Association Professional Practice Committee. Comprehensive medical evaluation and assessment of comorbidities: Standards of care in diabetes–2024. Diabetes Care. 2024 Jan;47(Suppl1):S52–S76.
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  19. Räisänen MP, Leppänen OV, Soikkeli J, et al. Surgery, needle fasciotomy, or collagenase injection for dupuytren contracture: A randomized controlled trial. Ann Intern Med. 2024 Mar;177(3):280–290.
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