diabetes to autoimmune and systemic diseases can all manifest as noticeable changes in the skin.
Diabetes:
People with diabetes often experience skin changes due to high blood sugar and poor circulation.
- Acanthosis nigricans: Dark, velvety patches of skin can form in body creases like the neck, armpits, and groin.
- Diabetic dermopathy: Also called “shin spots,” these are harmless round, reddish-brown patches on the lower legs caused by changes to small blood vessels.
- Diabetic blisters (bullosis diabeticorum): These appear suddenly on the hands, legs, and feet. They are often painless and heal on their own.
- Eruptive xanthomatosis: Yellowish, pea-sized bumps with a red halo appear on the skin, often on the backs of hands, feet, arms, and legs. They indicate very high triglyceride levels.
- Dry, itchy skin: High blood sugar can cause dehydration, and poor circulation is common.
Autoimmune diseases:
In autoimmune diseases, the immune system mistakenly attacks the body’s own tissues, including the skin.
- Lupus:
- Butterfly rash: A characteristic red rash that spreads across the cheeks and bridge of the nose.
- Discoid lesions: Red, scaly, and thick “coin-shaped” patches that can cause scarring and hair loss.
- Sun sensitivity: Rashes and sores often worsen with sun exposure.
- Scleroderma: Causes the skin and connective tissues to thicken and tighten.
- Dermatomyositis: Leads to a distinctive purplish rash, particularly on the eyelids, knuckles, and chest, along with muscle weakness.
- Vitiligo: An autoimmune condition that causes the loss of skin pigment, resulting in white patches.
Liver disease
Liver problems can cause a buildup of toxins and other substances, leading to a variety of skin signs.
- Jaundice: Yellowing of the skin and the whites of the eyes caused by a buildup of bilirubin.
- Itchy skin (pruritus): Severe itching is a common symptom of chronic liver disease.
- Spider angiomas: Small, spider-like blood vessels appear just under the skin, often on the face and neck.
- Palmar erythema: A blotchy redness on the palms of the hands.
- Terry’s nails: Nails that appear white with a reddish or pinkish band at the tips.
Kidney disease
When the kidneys fail to properly filter waste, toxins can accumulate in the body and affect the skin.
- Skin color changes: The skin may appear pale, gray, or yellow. A buildup of urea can also cause a white, powdery coating called “uremic frost”.
- Dryness and itchiness: Advanced kidney disease can cause severe, persistent dry and itchy skin.
- Calcified deposits: Hard calcium deposits can form under the skin.
- Nail changes: Fingernails may show changes, such as “half-and-half nails,” which are half white and half pink
Cancers:
Certain types of cancers can cause paraneoplastic syndromes, which are skin changes caused by the body’s reaction to an internal malignancy.
- Acanthosis nigricans: A severe, sudden onset can sometimes signal an internal cancer.
- Sign of Leser-Trélat: The sudden, explosive appearance of numerous, large, and itchy seborrheic keratoses (warty-looking spots).
Gastrointestinal disorders
Conditions affecting the gut can also have cutaneous manifestations.
- Inflammatory bowel disease: Can be associated with painful skin ulcers (pyoderma gangrenosum) or red lumps (erythema nodosum).
- Hepatitis C: Linked with skin conditions like lichen planus and porphyria cutanea tarda.
- This is for informational purposes only. For medical advice or diagnosis, consult a professional