Original Research ArticleInternational Journal of Research in Dermatology

Publication:
A retrospective, non-interventional, electronic medical record based real world data analysis in patients suffering from pruritus in type 2 diabetes mellitus

Int J Res Dermatol. 2022;8(3):344-352.DOI10.18203/issn.2455-4529.IntJResDermatol20221202

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Abstract

Background There is limited data highlighting the association of pruritus with Type 2 Diabetes Mellitus (T2DM). This was the first Electronic Medical Record (EMR) based real-world observational study on the demographics, clinical characteristics, associated risk factors and treatment(s) of pruritus in T2DM in India.

Methods EMR data of patients was retrospectively analysed with a baseline (V1) visit and two or more follow-up visits between June 2014-December 2019.

Results Majority of patients were 40-64 years old and mainly females (57%). Body mass index and co-morbidity data indicated a trend of obesity and hypertension. Observed HbA1c values were high (mean value of 9%). Majority of the patients were on hydroxyzine. Miconazole, fluconazole and corticosteroids were prescribed in 40% patients. Correlation between HbA1c levels with clinical pruritus was noted.

Conclusions Management of glycaemia along with timely dermatological intervention is needed for pruritus relief in T2DM, the use of antihistamines; in particular, hydroxyzine, should be further evaluated.

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Affiliations

  1. Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India
  2. Department of Dermatology, RNT Medical College, Udaipur, Rajasthan, India
  3. Department of Dermatology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
  4. Dr. Reddy's Laboratories Ltd, Ameerpet, Hyderabad, Telanagana, India
  5. Consultant Dermatologist at AMRI Hospital, Salt Lake, Kolkata and Belle Vue Clinic. Director of Dr. Hawelia’s Skin Clinic West Bengal, India
  6. Consultant Physician, Horizon Lifeline Multispeciality Hospital, Kolkata, West Bengal, India
  7. Clinical Insights Specialist, Healthplix Technologies Private Limited, Bengaluru, Karnataka, India

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