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Tight Skin in a Patient With Diabetes

Tight Skin in a Patient With Diabetes

This patient with long-standing insulin-dependent diabetes has difficulty closing his hand because of "tight skin." Diabetes is the cause: this finding occurs more often in persons with microvascular complications, such as retinopathy and nephropathy. The condition may occur even in patients with well-controlled diabetes. (Case and photograph courtesy of Norman Levine, MD.)

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