title: Tropical diabetes hand syndrome with autoamputation of the digits: case report and review of literature.
abstract: The tropical diabetes hand syndrome is a complication affecting patients with diabetes mellitus in the tropics, and consists of localized cellulitis, swelling and ulceration of the hands which may progress to fulminant sepsis and gangrene of the whole limb. It is associated with a poor outcome. We report a 32 year old woman with tropical diabetes hand infection with autoamputation of the digits, review the relevant literature, and highlight the need for prevention and early hospital presentation in diabetics with hand infection, in order to prevent potentially crippling or fatal complications.
authors.affiliation: Department of Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria.
authors.forename: Taiwo Hussean
authors.initials: TH
authors.lastname: Raimi
authors.affiliation: Department of Family Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Ekiti State, Nigeria.
authors.forename: Oluwole Ojo
authors.initials: OO
authors.lastname: Alese
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D002481:Cellulitis / Q000209:etiology* / Q000382:microbiology; D048909:Diabetes Complications / Q000097:blood / Q000503:physiopathology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D006227:Hand Deformities, Acquired / Q000209:etiology*; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications*; D016488:Medicine, African Traditional; D010982:Platelet-Derived Growth Factor / Q000627:therapeutic use; D012307:Risk Factors; D012883:Skin Ulcer / Q000188:drug therapy / Q000209:etiology*; D014946:Wound Infection / Q000209:etiology
chemical_list: D001786:Blood Glucose; D010982:Platelet-Derived Growth Factor
keywords: Hand infection; diabetes; outcome