SKIN SURFACE PH IN INTERTRIGINOUS AREAS IN NIDDM PATIENTS - POSSIBLE CORRELATION TO CANDIDAL INTERTRIGO

被引:70
作者
YOSIPOVITCH, G
TUR, E
COHEN, O
RUSECKI, Y
机构
[1] ELIAS SOURASKY MED CTR, DEPT DERMATOL, TEL AVIV, ISRAEL
[2] TEL AVIV UNIV, SACKLER SCH MED, TEL AVIV, ISRAEL
[3] BEILINSON MED CTR, DEPT ENDOCRINOL, IL-49100 PETAH TIQWA, ISRAEL
关键词
D O I
10.2337/diacare.16.4.560
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - To compare skin surface pH and moisture in intertriginous areas in diabetic patients and healthy control subjects and to study the relationship between these parameters and candidal infection. RESEARCH DESIGN AND METHODS - We measured the skin surface pH and moisture in the axillary, inframammary, inguinal, and forearm skin with a pH meter with a flat- glass electrode and skin corneometer. The subjects were 50 NIDDM patients from the diabetic outpatient clinic at Beilinson Medical Center, Petah Tiqva, Israel, and 40 healthy control subjects from hospital personnel. The main outcome measures were skin surface pH, skin moisture, and skin culture for Candida. RESULTS - Skin pH in the inguinal and axillary regions was significantly higher in diabetic patients compared with healthy control subjects (P < 0.0001), whereas no difference was noted in the forearm. In the inframammary region, diabetic women had significantly higher pH than nondiabetic women (P < 0.01). No difference was noted in men in this region, Six patients (12%) had candidal infection in intertriginous areas. CONCLUSIONS - Our study indicates that in intertriginous regions, sldn surface pH of diabetic patients is significantly higher than in normal control subjects and implies the significance of sldn pH as a possible factor promoting host susceptibility to skin candidal infection.
引用
收藏
页码:560 / 563
页数:4
相关论文
共 18 条
[1]   CORRELATION OF HUMAN INVIVO AND INVITRO CUTANEOUS ANTIMICROBIAL FACTORS [J].
ALY, R ;
MAIBACH, HI ;
RAHMAN, R ;
SHINEFIELD, HR ;
MANDEL, AD .
JOURNAL OF INFECTIOUS DISEASES, 1975, 131 (05) :579-583
[2]   EFFECT OF PROLONGED OCCLUSION ON THE MICROBIAL-FLORA, PH, CARBON-DIOXIDE AND TRANS-EPIDERMAL WATER-LOSS ON HUMAN-SKIN [J].
ALY, R ;
SHIRLEY, C ;
CUNICO, B ;
MAIBACH, HI .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1978, 71 (06) :378-381
[3]  
Arnold Lloyd, 1942, JOUR INVEST DERM, V5, P207
[4]   INFECTION IN DIABETES - PREDISPOSING FACTORS [J].
BAGDADE, JD .
POSTGRADUATE MEDICINE, 1976, 59 (01) :160-164
[5]  
BLICHMANN CW, 1988, ACTA DERM-VENEREOL, V68, P284
[6]   A CHARACTERIZATION OF PH-REGULATED DIMORPHISM IN CANDIDA-ALBICANS [J].
BUFFO, J ;
HERMAN, MA ;
SOLL, DR .
MYCOPATHOLOGIA, 1984, 85 (1-2) :21-30
[7]  
DIKSTEIN S, 1989, CUTANEOUS INVESTIGAT, P59
[8]   ACANTHOSIS NIGRICANS, INSULIN ACTION, AND HYPERANDROGENISM - CLINICAL, HISTOLOGICAL, AND BIOCHEMICAL FINDINGS [J].
DUNAIF, A ;
GREEN, G ;
PHELPS, RG ;
LEBWOHL, M ;
FUTTERWEIT, W ;
LEWY, L .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1991, 73 (03) :590-595
[9]   HANDICAPS TO HOST DEFENSE - EFFECTS OF HYPERGLYCEMIA ON C3 AND CANDIDA-ALBICANS [J].
HOSTETTER, MK .
DIABETES, 1990, 39 (03) :271-275
[10]   CUTANEOUS MANIFESTATIONS OF DIABETES-MELLITUS [J].
HUNTLEY, AC .
DERMATOLOGIC CLINICS, 1989, 7 (03) :531-546