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Case Reports
. 2008 Oct;28(4):130-1.
doi: 10.4103/0973-3930.45273.

Tropical diabetic hand syndrome

Sangeeta Tiwari  1 , Ashutosh Chauhan, N T Sethi
Affiliations
Case Reports

Tropical diabetic hand syndrome

Sangeeta Tiwari et al. Int J Diabetes Dev Ctries. 2008 Oct.

Abstract

Tropical diabetic hand syndrome (TDHS) is a terminology used to describe a specific complication affecting patients with diabetes mellitus in the tropics. The syndrome encompasses a localized cellulitis with variable swelling and ulceration of the hands to progressive, fulminant hand sepsis, potentially fatal. Since this syndrome is less recognized it is often under-reported. Authors present two cases of TDHS and emphasize on aggressive glycemic control and surgical therapy to prevent potential crippling or fatal complications.

Keywords: Diabetes; gangrene; hand; infection.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Patient presented with cellulitis and abscess of Rt hand (a) At presentation (b) Day 3: Amputation of thumb (c) Day 15: At discharge
Figure 2
Figure 2
Patient presented with palmar abscess and ulceration of Rt hand (a) At presentation (b) Day 11 (c) Day 18: SSG
See this image and copyright information in PMC

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