Uncontrolled T2DM with Ecchymosis and Petechiae

A 65 year old female presented to OPD with uncontrolled sugars and lesions over legs History She had an episode of bleeding from nose, admitted elsewhere and discharged on VIT B12 1500mcg supplements and fexofenadine 180mg OD, but no relief Diagnosis Kindly give your opinion for such lesions in T2DM Management Appropriate line of management for such patient

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Diabetic Dermopathy . Pigmented purpuric dermatoses (also known as pigmented purpura) is associated with diabetes, more often in the elderly, and frequently coexists with diabetic dermopathy Pigmented purpura presents with non-blanching copper-colored patches involving the pretibial areas of the legs or the dorsum of the feet. The lesions are usually asymptomatic but may be pruritic. Pigmented purpuric dermatoses occurs more often in late-stage diabetes in patients with nephropathy and retinopathy as a result of microangiopathic damage to capillaries and sequential erythrocyte deposition However- D/D can be 1.OHG induced lesions or if the patient is on Aspirin 2.Associated ITP 3Bleeding disorder 4.Hepatic involvement A CBC , PTI , LFT and complete coagulogram needs,to be done

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Multiple echymosis patches seen in a uncontrolled diabetc is likely secondary to antiplatelets which pt may be taking Assess absolute platelet count bt ct ptt and inr Patches looks to be purpuric Plan the treatment after investigations

Thanx dr Pushkar ji Bhomia
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? UNCONTROLLED DIABETES WITH.. ECHYMOSIS.. VASCULOPATHY.. MANAGEMENT.. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. BLOOD CBC CT BT PT.. COLOUR DOPLAR STUDY..

Tnx Dr Shivraj Agarwal sir
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Uncontrolled diabetes In such cases dermopathy having purpuric feature can occur

Diabetic dermopathy Ecchymosís

Ecchymoses List of drug on Bt ct pt inr ptt Factor Inj vit k

Diabetic dermopathy Vasculopathy Ad coloured Doppler studies

Senile purpura

Uncontrol DM2 with ecchymosis Do CBC, LFT KFT, PT INR Avoid aspirin or blood thinner

Diabetic Dermopathy Senile purpura

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