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September 3, 1927, Vol 89, No. 10 >
ARTICLE | September 3, 1927

A STUDY OF THE SKIN IN FIVE HUNDRED CASES OF DIABETES FREE

ARTHUR M. GREENWOOD, M.D.
[+] Author Affiliations

Read before the Section on Dermatology and Syphilogy at the Seventy-Eighth Annual Session of the American Medical Association, Washington, D. C., May 20, 1927.


JAMA. 1927;89(10):774-776. doi:10.1001/jama.1927.02690100036009
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References

This paper is a study of the dermatologic conditions found in 500 diabetic patients of Dr. Elliott P. Joslin and Dr. F. Gorham Brigham. It was undertaken so that we might know more of the skin conditions to be expected in diabetes, and also because of the comparatively recent writings relative to the association of hyperglycemia and skin disease. It seemed reasonable to assume that we should find an abnormally high incidence of skin diseases in diabetic patients if high blood sugar has any connection between them other than coincidental, or as part of a complex of other conditions. The blood sugar average of these cases done by the Folin-Wu method was 0.19, well above the normal, whose upper limit is generally considered to be 0.11 per cent.1

Textbooks2 on diabetes mention the following skin complications as commonly present in diabetes, and generally assume these to be due

REFERENCES

1 +
McGlasson, I. I.:  Hyperglycemia as an Etiologic Factor in Certain Dermatoses , Arch. Dermat. & Syph. 8:665 ( (Nov.) ) 1923;.
2 +
Gray, Horace:  Blood Sugar Standards: I. Normal and Diabetic Persons , Arch. Int. Med. 31:241 ( (Feb.) ) 1923;.
3 +
Joslin, E. P.: Treatment of Diabetes Mellitus , ed. 3, Philadelphia, Lea & Febiger, p. 590.
4 +
Allen: Glycosuria and Diabetes , Cambridge, Harvard University Press, p. 136.
5 +
Von Noorden: Metabolism and Practical Medicine , Chicago, Chicago Medical Book Company, 3.
6 +
Handmann, E.: Deutsches Arch. f. klin. Med. , 1911;, pp. 102, 1-14.
7 +
Bujwed: Zentralbl. f. Bakteriol. u. Parasitenkunde 4:577-578, 1888;.
8 +
Smith, Theobald: Centralbl. f. Bakt. 18: 1-9, 1895;.
9 +
Von Noorden: Metabolism and Practical Medicine, p. 785.
10 +
McGlasson (footnote 1).
11 +
Hudelo, L., and Kourilisky, R.:  Hyperglycemia Without Glycosuria in Skin Diseases , Presse méd. 34:1041 ( (Aug.) ) 1926;.
12 +
Lortat-Jacob, L., and LeGrain, P.: Medicine 7:746 ( (July) ) 1926;.
13 +
Lortat-Jacob, L., and Bourgeois, P.: Bull. et mem. Soc. méd. d. hôp. de Paris 50:621 ( (April) ) 1926;.
14 +
Haldin-Davis, H., and Wills, L.:  Abnormalities of Blood Sugar Content in Eczema , Brit. J. Dermat. 37:364 ( (Sept.) ) 1925;.
15 +
Schwartz, Highman and Malinkin:  The Sugar Content of the Blood in Various Skin Diseases , J. Cutan. Dis. 34:159 ( (March) ) 1916;.
16 +
Schamberg, J. F.: Personal communication to the author.
17 +
Talbert, G. A., and Silvers, S. H.: Personal communication to the author.
18 +
Palmer, W. W.: J. Biol. Chem. 30:79 ( (May) ) 1917;.
19 +
Trimble, II. C.: Personal communication to the author.
20 +
Hulsey, S. H., and Jordan, F. M.:  Ringworm of the Toes as Found in University Students , Am. J. M. Sc. 169:267 ( (Feb.) ) 1925;.
21 +
Butler, C. S.; Houghton, J. E., and Cooper, G. E.:  Mycosis of the Hands and Feet , U. S. Nav. M. Bull. 21:615 ( (Nov.) ) 1924;.

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1 +
McGlasson, I. I.:  Hyperglycemia as an Etiologic Factor in Certain Dermatoses , Arch. Dermat. & Syph. 8:665 ( (Nov.) ) 1923;.
2 +
Gray, Horace:  Blood Sugar Standards: I. Normal and Diabetic Persons , Arch. Int. Med. 31:241 ( (Feb.) ) 1923;.
3 +
Joslin, E. P.: Treatment of Diabetes Mellitus , ed. 3, Philadelphia, Lea & Febiger, p. 590.
4 +
Allen: Glycosuria and Diabetes , Cambridge, Harvard University Press, p. 136.
5 +
Von Noorden: Metabolism and Practical Medicine , Chicago, Chicago Medical Book Company, 3.
6 +
Handmann, E.: Deutsches Arch. f. klin. Med. , 1911;, pp. 102, 1-14.
7 +
Bujwed: Zentralbl. f. Bakteriol. u. Parasitenkunde 4:577-578, 1888;.
8 +
Smith, Theobald: Centralbl. f. Bakt. 18: 1-9, 1895;.
9 +
Von Noorden: Metabolism and Practical Medicine, p. 785.
10 +
McGlasson (footnote 1).
11 +
Hudelo, L., and Kourilisky, R.:  Hyperglycemia Without Glycosuria in Skin Diseases , Presse méd. 34:1041 ( (Aug.) ) 1926;.
12 +
Lortat-Jacob, L., and LeGrain, P.: Medicine 7:746 ( (July) ) 1926;.
13 +
Lortat-Jacob, L., and Bourgeois, P.: Bull. et mem. Soc. méd. d. hôp. de Paris 50:621 ( (April) ) 1926;.
14 +
Haldin-Davis, H., and Wills, L.:  Abnormalities of Blood Sugar Content in Eczema , Brit. J. Dermat. 37:364 ( (Sept.) ) 1925;.
15 +
Schwartz, Highman and Malinkin:  The Sugar Content of the Blood in Various Skin Diseases , J. Cutan. Dis. 34:159 ( (March) ) 1916;.
16 +
Schamberg, J. F.: Personal communication to the author.
17 +
Talbert, G. A., and Silvers, S. H.: Personal communication to the author.
18 +
Palmer, W. W.: J. Biol. Chem. 30:79 ( (May) ) 1917;.
19 +
Trimble, II. C.: Personal communication to the author.
20 +
Hulsey, S. H., and Jordan, F. M.:  Ringworm of the Toes as Found in University Students , Am. J. M. Sc. 169:267 ( (Feb.) ) 1925;.
21 +
Butler, C. S.; Houghton, J. E., and Cooper, G. E.:  Mycosis of the Hands and Feet , U. S. Nav. M. Bull. 21:615 ( (Nov.) ) 1924;.

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