perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2017-62-2-17-21perinatology-467Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSКожные проявления сахарного диабета у детейCutaneous manifestations of diabetes mellitus in childrenЛимаренкоМ. П.LymarenkoM. P.

к.м.н., доцент кафедры педиатрии,

83003 Донецк, пр. Ильича, д. 16

Donetsk

Донецкий национальный медицинский университет им. М. ГорькогоУкраинаM. Gorky Donetsk National Medical UniversityUkraine2017010520176221721Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20172017Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/467

Поражения кожи при сахарном диабете могут быть обусловлены метаболическими расстройствами, а также развиваться вследствие инъекций инсулина, в результате присоединения инфекции либо при синдромальных формах сахарного диабета. К поражениям кожи, обусловленным метаболическими нарушениями, относятся: диабетическая дерматопатия, диабетический пузырь, липоидный некробиоз, кольцевидная гранулема, эруптивные ксантомы, склередема, витилиго. Нередко у детей и подростков, больных сахарным диабетом, встречаются инфекционные поражения кожи, такие как кандидоз кожи и слизистых (стоматит, вагинит, онихомикоз, паронихия, заеда, кандидоз кожных складок и межпальцевых промежутков), бактериальные инфекции кожи. К последствиям инъекций инсулина относятся постинъекционные липодистрофии, инсулиновые отеки и аллергические реакции. Раннее направление к дерматологу способствует выявлению кожных изменений при диабете на начальной стадии и назначению своевременной комплексной терапии.

Skin lesions in diabetes mellitus may be caused by metabolic disorders and develop due to insulin injections as a result of concurrent infection or in syndromic forms of diabetes. The skin lesions caused by metabolic disorders include diabetic dermopathy, diabetic bladder, necrobiosis lipoidica, granuloma annulare, eruptive xanthomas, scleroderma, and vitiligo. Children and adolescents with diabetes mellitus have frequently skin infections, such as cutaneous and mucosal candidiasis (stomatitis, vaginitis, onychomycosis, paronychia, perleche, and candidiasis ofskin folds and interdigitalspaces), and bacterialskin infections. The sequels of insulin injections include post-injection lipodystrophies, swelling, and allergic reactions. Early referral to a dermatologist assistsin identifying skin changesin the early stage of diabetes and in using timely combination therapy.

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The authors declare that there are no conflicts of interest present.