有关糖尿病患者足部并发症高发生率和死亡率,已有详细的描述,但多数教科书仍忽略了手部症状。最近关于手指挛缩在Ⅰ型糖尿病中常见,并可能是微血管病的标志的说法,重又引起了对手部症状的注意。25年前,Lundbaek 报道5例长期用胰岛素治疗的成年糖尿病患者在手部特别是在掌部,发生疼痛、僵硬,皮肤增厚。患者震动阈正常,无肌肉消瘦,因此并非神经病变。此外,各例都有手指动脉钙化,提示上述改变可能由局部缺血所致。1974年 Rosenbloom 等报道3例少年糖尿病患者主要在手部发生关节活动受限(LJM),并伴有增厚的蜡样皮肤。(?)后发现28%的少年型糖尿病患者在手 The high incidence and mortality of foot complications in people with diabetes have been described in detail, but most textbooks still ignore hand symptoms. The recent notion that finger contractures are common in type I diabetes and may be a hallmark of microvascular disease has again raised the eye on symptomatic hand symptoms. Twenty-five years ago, Lundbaek reported that five adults with long-term insulin-treated diabetes developed pain, stiffness and thickening of the skin in their hands, especially in the palm of their hand. Patients with normal vibration threshold, no muscle wasting, it is not neuropathy. In addition, finger arterial calcification was observed in all cases, suggesting that these changes may be caused by ischemia. In 1974, Rosenbloom et al. Reported that juvenile patients with juvenile diabetes mainly had limited joint mobility (LJM) in their hands, accompanied by thickening of waxy skin. (?) Found that 28% of juvenile patients with diabetes in hand