IMAGES IN MEDICINE
Diabetic cheiroarthropathy
1 Department of Endocrinology, Command Hospital (Central Command), Lucknow Cantt, India
2 Medical Services, Uttar Bharat Area, Bareilly Cantt, India
3 Command Headquarters (Central Command), Medical Branch, Lucknow Cantt, India
4 Department of Radiology, Command Hospital (Central Command), Lucknow Cantt, India
Correspondence to:
Dr A S Kashyap, Department of Endocrinology, Command Hospital (Central Command), Lucknow Cantt 226 002, India; kashyapajits@gmail.com
Keywords: diabetic cheiroarthropathy; microangiopathy; prayer sign
| The first 150 words of the full text of this article appear below. |
A 52-year-old Hindu priest with poorly controlled type 2 diabetes of 15 years duration presented with gradual-onset stiffness and deformities of his hands. He was unable to perform prayers in the temple and was dismissed from his job. He had features of diabetic cheiroarthropathy (fig 1). Stiffness and contractures of the skin, soft tissues, tendon sheaths and small joints of the hands are seen in long-standing diabetes and are associated with the risk of microvascular complications. Increased glycosylation of the skin and periarticular tissue, impaired collagen degradation, microangiopathy and diabetic neuropathy are postulated to be the multiple factors responsible.1 Flexion contractures of the fingers may develop at an advanced stage of this condition, as indicated by the prayer sign in this patient. A careful explanation of his ailment to his employers and devotees led to his reinstatement.
Figure 1 Patient with diabetic cheiroarthropathy showing the prayer sign (inability to press | |||||||||
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
