Toe nail changes in diabetes mellitus

Original Article

Author Details : P Vidyasagar*, B Praveen Kumar

Volume : 7, Issue : 1, Year : 2021

Article Page : 40-46

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Introduction: Diabetes is a metabolic disorder caused by abnormal release of or sensitivity to the insulin hormone, with loss of blood glucose control. Un controlled diabetes can have devastating effects on many organ systems including cardiovascular, neurologic, ocular, and renal, with its impact on skin, hair, and nail. diabetes mellitus is a predisposing factor for onychomycosis (OM),paronychia and ingrowing toe nail defects. In the present study evaluation of the prevalence and types of nail changes was done.
Materials and Methods: During a 1 year study period (June 2018 to May 2019), patients with diabetes mellitus were screened for toenail changes. Demographic, social, and clinical data were recorded. Informed written consent was taken. Fungal infection was confirmed by nail clippings microscopy.
Results: Of the 60 patients most common nail changes are subungual hyperkeratosis, onycholysis, and onychomycosis, and less common changes are Twenty nail dystrophy, Dorsal pterygium, Terry’s nail in liver disease and diabetes mellitus and Subungual wart.
Conclusions: Physicians who care for diabetic patients should not ignore nail changes. Careful global evaluation of patients with diabetes should include observation of nail changes.

Keywords: Nails, Diabetes mellitus.

How to cite : Vidyasagar P , Kumar B P, Toe nail changes in diabetes mellitus. IP Indian J Clin Exp Dermatol 2021;7(1):40-46

Copyright © 2021 by author(s) and IP Indian J Clin Exp Dermatol. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (

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