0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Skin Vascular Alterations in Diabetes Mellitus

MILTON B. HANDELSMAN, M.D.; THOMAS G. MORRIONE, M.D.; BERNARD GHITMAN, M.D.
Arch Intern Med. 1962;110(1):70-77. doi:10.1001/archinte.1962.03620190072011.
Text Size: A A A
Published online

Many studies employing a variety of physiological techniques have demonstrated impaired responses on the part of the superficial smaller blood vessels of diabetics who had no evidences of large vessel disease. In 1930, Starr1 performed "wheal tests" with histamine injected intracutaneously in the legs of stabilized diabetics. He found that in 50 diabetic patients without evidence of arteriosclerosis, 8 had markedly diminished and 17 had moderately diminished wheal formation (50% hyporeactive). In another group of 25 diabetic patients who had evidence of generalized arteriosclerosis but with excellent dorsalis pedis pulsations, 11 had markedly diminished and 9 had markedly decreased wheal responses (80% hyporeactors). Starr also noted that hyporeaction occurred but was reversible in patients with acidosis.

In a more recent study, 7 out of 16 diabetics without demonstrable vascular disease showed inadequate temperature elevation of the skin of the toes after the intravenous administration of tolazoline hydrochloride (Priscoline),2

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 52

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();