Many patients with Type 1 DM (up to 30 percent), especially those with long duration of the disease, manifest waxy skin and stiffness of the small and large joints. This damage is correlated with the presence of microvascular complications.

The involvement of the small hand joints leads to the characteristic inability of palmar surfaces approximation (Figure 20.1, the prayer sign) and the inability of complete extension of the palm.

The skin on the dorsal surfaces of the hands is hard, waxy and cannot be easily tented (see Chapter 18).

These disturbances are partially improved with glycaemic control but do not require any special treatment.

0 0


  • ezio genovese
    What is cheiroarthropathy?
    8 years ago

Post a comment