Background MB ChB, DMR(RCP) London.
Consultant Rheumatologist for the last 20 years in Baghadad Medical City (a teaching hospital).
Ass. Prof. in Baghdad University-College of Medicine.
Objectives To study the prevalence of soft tissue rheumatism in Iraqi diabetic patients (both IDDM and NIDDM) and to evaluate association between these sequelae and the duration of the diease.
Methods Limited joint mobility (LJM), Dupuytren’s Contracture (DC), flexor tenosynovitis (FTS), frozen shoulder (FS) and carpal tunnel syndrome (CTS) were assessed in 100 Iraqi diabetics (50 insulin dependent, 50 non insulin dependent DM) and (50) nondiabetic control matched for age and sex, according to clinical examination (signs and symptoms) and electrophysiological study.
Results Prevalence of LJM, in IDDM vs. NIDDM was (56% vs. 36%), FTS (20% vs. 38%), DC(20% vs 16%), FS(22% vs 40%) and CTS(26% vs 16%).
There was significant statistical difference (p < 0.05) between IDDM and NIDDM, regarding LJM, FS, and FTS, the first was higher in IDDM and the last two were higer in NIDDM, while there was no significant and statistical difference regarding CTS and DC.
Conclusion Soft tissue Rheumatism occurs more frequently in both IDDM and NIDDM than in control (p < 0.05). Their occurrence appeared to be directly related to disease duration regarding LJM, DC and CTS. The most common sequelae in IDDM was LJM while FS was the most frequent abnormality detected in NIDDM.
Patients with IDDM had been found to be more susceptible to develop multiple rheumatic sequelae than patients with NIDDM(p < 0.05).
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