Published: 2016-12-16

Tropical diabetic hand syndrome- a case report with a short review

Mohd Mubarik Naqash, Feroze Ahmad, Arif Nabi Bhat, Umar Jalalie, Rameez Raja Najar


Tropical diabetic hand syndrome (TDHS) encompasses an acute symptom complex found in patients of diabetes mellitus primarily in the tropical regions. The syndrome usually follows a minor trauma to the hand, may rapidly progress to gangrene, fulminant sepsis and may even be life threatening. The syndrome is less recognized and thus reported less often. The authors present here a case of Tropical diabetic hand syndrome (TDHS) in a middle aged female with a poor glycemic control. The patient was managed meticulously both by surgical debridement and proper, culture evidenced antibiotic therapy apart from routine diabetic management.


Antibiotics, Debridement, Gangrene, Sepsis, TDHS

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Mago V. Tropical diabetic hand syndrome in Khanpur, Kalan. Int J clin cases inv. 2013;5(6):108-11.

Fitzgibbons PG, Weiss APC. Hand manifestations of diabetes mellitus. J Hand surg. 2008;33A:771-5.

Mota M, Panuş C, Mota E, Sfredel V, Patraşcu A, Vanghelie L, et al. Hand abnormalities of the patients with diabetes mellitus. Rom J Intern Med. 2000-2001;38-39:89-95.

Abbas ZG, Lutale J, Gill Gv . Tropical diabetic hand syndrome risk faitors in an adult diabetes population int J infect Dis. 2001;5:19-23.

Archibald LK, Gill GV, Abbas Z, Fatal hand sepsis in Tanzanian diabetic patients. Diabetes Med. 1997;14:607-10.

Gill GV, Famuyiwa, Rolfe Metal. Serious hand sepsis and diabetes mellitus: Specific tropical syndrome with western counterparts. Diabetes med. 1998;15;858-62.

Tiwari S, Chauhan A, Sethi NT. Tropical diabetic hand syndrome, Int. J Diab Dev Ctrics. 2008;28(4):130-1.

Bajaj S, Bajaj AK. Tropical Diabetic hand syndrome: Indian experience. J Assoc physicians India. 1999;47:1118-9.

Cagliero E, Apruzzese W, Perlmutter GS, Nathan DM. Musculoskeletal disorders of the hand and shoulder in patient with diabetes mellitus. Am J Med. 2002;112:487-90.

Nthumba P, Cavadas PC, Landin L. The tropical diabetic hand syndrome: a surgical perspective. Ann plast surg. 2013;70(1):42-6.

Centers for disease control and prevention; tropical diabetic hand syndrome dares salaam, Tanzania, 1998-2002, MMWR Morb Mortal wkly Rep. 2002;51(43):969-70.

Rosenblom AL. Limitation of finger joint mobility in diabetes mellitus. J Diabetes compl. 1989;3:77-87.

Ngim NE, Amah P, Abang I. Tropical Diabetic hand syndrome: report of 2 cases. The pan African Med J. 2012;12:24.

Connor RW, Kimbrough Rs, Dabezies MJ. Hand infectons in patient with diabetes mellitus. Orthopedics. 2001;24:1057-60.

Abbas ZG, Archibald LK. Tropical Diabetic hand syndrome. Epidemiology, pathogenesis and management Am J clin dermatol. 2005;6(1);21-8.