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Diabetic cheiroarthropathy, also known as diabetic stiff hand syndrome or limited joint mobility syndrome, is a cutaneous condition characterized by waxy, thickened skin and limited joint mobility of the hands and fingers, leading to flexion contractures, a condition associated with diabetes mellitus [1]: 681 and it is observed in roughly 30% of diabetic patients with longstanding disease.
In the skin, systemic sclerosis causes hardening and scarring. The skin may appear tight, reddish, or scaly. Blood vessels may also be more visible. Where large areas are affected, fat and muscle wastage may weaken limbs and affect appearance. Patients report severe and recurrent itching of large skin areas.
The goals of treatment are to reduce pain, decrease inflammation, and improve a person's overall functioning. [5] This may be helped by balancing rest and exercise, the use of splints and braces, or the use of assistive devices. [1] [6] [7] Pain medications, steroids, and NSAIDs are frequently used to help with symptoms. [1]
Chilblains of the feet, caused by excessive exposure to cold and humidity. Dermatitis in extremities (toes, fingers, earlobes, nose, etc), including: Burning and itching sensations; Throbbing pain; Skin discoloration (red to dark blue) with erythema (blanchable redness) Blistering of affected area; Ulceration (in severe cases only)
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
There are also a number of other conditions that affect hands, feet, and parts of the face with associated skin color changes that need to be differentiated from acrocyanosis: Raynaud phenomenon, pernio, acrorygosis, erythromelalgia, and blue finger syndrome. The diagnosis may be challenging in some cases, especially when these syndromes co-exist.