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March 1987, Vol 141, No. 3 >
Article | March 1987

Joint and Pulmonary Changes in Diabetes FREE

László Madácsy, MD
Am J Dis Child. 1987;141(3):244-245. doi:10.1001/archpedi.1987.04460030022013.
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Sir.—Regarding the recent article by Buckingham et al,1 I would like to report our findings on the same subject.2-4

We investigated 55 insulin-dependent children and adolescents whose diabetes became clinically apparent before the age of 14 years. Their ages ranged from 5 to 18 years (mean [ ± SEM], 13.3 ± 5.1 years) and the duration of diabetes ranged from one to ten years (mean [±SEM], 4.5 ±2.6 years). Joint contractures were classified in three stages, according to Grgic et al,5 and respiratory function data were measured by constant whole-body plethysmography. Signs of retinal microangiopathy were evaluated by fluorescein angiography.

Limited joint mobility (LJM) was detected in 24 (43%) of 55 patients. Among children with a longer duration of diabetes (more than five years), 15 of 25 patients had LJM, and ten of these 15 patients also had retinal microangiopathy. Limited joint mobility, impaired respiratory function,

REFERENCES

1 +
Buckingham B, Perejda AJ, Sandborg C, diabetes al:  Skin, joint, and pulmonary changes in type I diabetes mellitus . AJDC 1986;;140:420-423.
2 +
Madácsy L, Peja M, Korompay K, et al:  Limited joint mobility, impaired respiratory function, and early retinopathy in childhood diabetes . Diabetologia 1982;;23:184-185.
3 +
Madácsy L, Peja M, Korompay K, et al:  Limited joint mobility, impaired respiratory function and early retinopathy in childhood diabetes . Bull Int Study Group Diabetes Child Adolesc 1983;;8:13.
4 +
Madácsy L, Peja M, Korompay K, et al:  Limited joint mobility in diabetic children: A risk factor of diabetic complications? Ada Paediatr Hung 1986;;27:91-96.
5 +
Grgic A, Rosenbloom AL, Weber FT, et al:  Joint contracture: Common manifestation of childhood diabetes mellitus . J Pediatr 1976;;88: 584-588.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Buckingham B, Perejda AJ, Sandborg C, diabetes al:  Skin, joint, and pulmonary changes in type I diabetes mellitus . AJDC 1986;;140:420-423.
2 +
Madácsy L, Peja M, Korompay K, et al:  Limited joint mobility, impaired respiratory function, and early retinopathy in childhood diabetes . Diabetologia 1982;;23:184-185.
3 +
Madácsy L, Peja M, Korompay K, et al:  Limited joint mobility, impaired respiratory function and early retinopathy in childhood diabetes . Bull Int Study Group Diabetes Child Adolesc 1983;;8:13.
4 +
Madácsy L, Peja M, Korompay K, et al:  Limited joint mobility in diabetic children: A risk factor of diabetic complications? Ada Paediatr Hung 1986;;27:91-96.
5 +
Grgic A, Rosenbloom AL, Weber FT, et al:  Joint contracture: Common manifestation of childhood diabetes mellitus . J Pediatr 1976;;88: 584-588.

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