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Emilia Noemí Cohen Sabban - Dermatology and Diabetes

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Emilia Noemí Cohen Sabban Dermatology and Diabetes

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This book reviews the dermatological manifestations of Diabetes Mellitus, including a broad spectrum of conditions since the dysfunction of the cutaneous barrier, going through cutaneous infections in diabetics, dermatoses associated to Diabetes and manifestations related to Diabetes treatment. Moreover, the book comprises the latest concepts regarding epidemiology, classification, diagnosis and treatment of Diabetes Mellitus, insulin resistance and metabolic syndrome, including useful tools for the management of patients with diabetes. It explains why skin conditions have such a great impact on the quality of life of these patients, particularly the subset of patients with diabetic foot syndrome. Dermatology and Diabetes discusses all these dermatologic conditions and provides a roundup of the current guidelines in diabetic patients. Taking into account the critical differential diagnostic information and therapeutic options, the book is an important reference for clinical dermatologist and all health care professionals involved.

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Editors Emilia Noem Cohen Sabban Flix Miguel Puchulu and Kenneth Cusi - photo 1
Editors
Emilia Noem Cohen Sabban , Flix Miguel Puchulu and Kenneth Cusi
Dermatology and Diabetes
Editors Emilia Noem Cohen Sabban Dermatology Department Instituto de - photo 2
Editors
Emilia Noem Cohen Sabban
Dermatology Department, Instituto de Investigaciones Mdicas A. Lanari, University of Buenos Aires (UBA), Buenos Aires, Argentina
Flix Miguel Puchulu
Division of Diabetology, Department of Medicine, University of Buenos Aires, Buenos Aires, Argentina
Kenneth Cusi
Division of Endocrinology, Diabetes and Metabolism, The University of Florida, Gainesville, Florida, USA
ISBN 978-3-319-72474-4 e-ISBN 978-3-319-72475-1
https://doi.org/10.1007/978-3-319-72475-1
Library of Congress Control Number: 2018930134
Springer International Publishing AG 2018
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Printed on acid-free paper

This Springer imprint is published by Springer Nature

The registered company is Springer International Publishing AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

When we thought about this book on diabetes, our desire was to achieve something that would help the reader understand the disease from a wider point of view. Hence, this work, contributed by dermatologists and specialists in diabetes, not only reviews the dermatological manifestations of diabetes mellitus but also includes contributions from diabetologists, since we consider the disease in all its aspects in patients with diabetes. Thus, we approach the same issues from the perspective of both specialties, in the same way we face the daily task of taking care of our patients in a multidisciplinary team.

The book comprises a broad spectrum of skin conditions related to diabetes, its comorbidities, its most common complicationsvasculopathy and neuropathyas well as basic and necessary concepts regarding the epidemiology, classification, diagnosis, and treatment of the disease.

We hope that the effort invested in this work will be of great help to all those who, in one way or another, feel responsible for improving the quality of life of these patients.

Emilia Noem Cohen Sabban
Flix M. Puchulu
Kenneth Cusi
Buenos Aires, Argentina Buenos Aires, Argentina Gainesville, FL, USA
Contents
Mariano Javier Taverna
Flix Miguel Puchulu
Fernando Bril and Kenneth Cusi
Emilia Noem Cohen Sabban
Patricia Troielli and Lucrecia Juarez
Emilia Noem Cohen Sabban
Emilia Noem Cohen Sabban and Paula A. Friedman
Federico Reissig
Alexandro Bonifaz , Aline Armas-Vzquez and Andrs Tirado-Snchez
Daniel Stecher
Emilia Noem Cohen Sabban
Marina Luz Margossian and Emilia Noem Cohen Sabban
Jos Contreras-Ruiz and Ana Carolina Manzotti-Rodriguez
Adolfo V. Zavala
Denise Steiner , Carolina Reato Maron and Emilia Noem Cohen Sabban
Jessica Cervantes , Ana Paula Lamas , Andre Lencastre , Daniel Coelho de S and Antonella Tosti
Index
Springer International Publishing AG 2018
Emilia Noem Cohen Sabban , Flix Miguel Puchulu and Kenneth Cusi (eds.) Dermatology and Diabetes https://doi.org/10.1007/978-3-319-72475-1_1
1. Epidemiology of Diabetes
Mariano Javier Taverna
(1)
Division of Diabetology, Clinical Hospital of the University of Buenos Aires, Buenos Aires, Argentina
(2)
National Research Council of Argentina (CONICET), Institute of Cardiological Investigations Prof. Dr. Alberto C. Taquini (ININCA), Buenos Aires, Argentina
(3)
School of Medicine, University of Salvador (USAL), Buenos Aires, Argentina
Mariano Javier Taverna
Email:
Introduction

Diabetes mellitus is a chronic, metabolic disease defined by increased concentrations of blood glucose which leads, over time, to progressive damage in most tissues and organs including heart, blood vessels, eyes, kidneys, skin, and nerves. The most common is type 2 diabetes, commonly in adults, which occurs as result of the combination of insulin resistance with pancreatic beta cell insufficiency, with 50% of patients requiring insulin treatment within 10 years [].

Global Burden
The number of adults living with diabetes has approximately quadrupled since 1980 (108 millions) to 2014 (422 millions). The age-standardized prevalence of diabetes has nearly doubled since 1980, increasing from 4.7 to 8.5% in the adult population (Table ].
Table 1.1

Global estimates of people with diabetes (adults 18+ years) in 1980 and 2014

World Health Organization region

Prevalence (%)

Number (millions)

1980

2014

1980

2014

African region

3.1

7.1

Region of the Americas

8.3

Eastern Mediterranean region

5.9

13.7

European region

5.3

7.3

Western Pacific region

4.4

8.4

South-East Asia region

4.1

8.6

Total

4.7

8.5

In the last decade, diabetes prevalence, in a pa ndemic scenario, has increased less faster in high-income nations than in low- and middle-income countries, including Africa and Asia, where most diabetic patients will probably be found by 2030. This rising incidence of diabetes in developing countries accompanies the trend of unhealthy lifestyle changes (low physical activity and Western pattern eating habits) and urbanization [].

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