Skin disorders indicating peripheral arterial occlusive disease and chronic venous insufficiency in organ transplant recipients

Maren Buntinx, Adriana P.M. Lavrijsen, Johan W. de Fijter, Marlies E.J. Reinders, Abbey Schepers, Jan N. Bouwes Bavinck*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Peripheral arterial occlusive disease (PAOD) and chronic venous insufficiency (CVI) in organ transplant recipients (OTR) can lead to harmful outcomes. We made an inventory of cutaneous manifestations of PAOD and CVI in OTR in relation with diabetes and other potential risk factors. Methods: A prospective study in a single center was performed. OTR (n = 112) were included at the outpatient clinic to investigate clinical signs of PAOD and CVI. The most commonly associated risk factors were determined. Results: PAOD had been diagnosed in 15.6% and CVI in 30.0% of the patients. Diabetes was the cause of organ failure in 9.8% of the patients. Type 1 diabetes had been diagnosed in 8.9% and type 2 diabetes in 21.4% (59.1% new-onset diabetes after transplantation). Type 1 diabetes showed an increased risk for PAOD and limb amputation with hazard ratios of 11.0 (95%CI 3.0–40.2) and 9.1 (95%CI 1.4–58.6). Type 2 diabetes showed no increased risk. Conclusions: Patients with a history of type 1 diabetes were at high risk for PAOD even years after a simultaneous pancreas kidney transplantation and they should remain under close observation for PAOD even though they are supposedly “cured” from their diabetes to prevent a harmful outcome.

Original languageEnglish
Article number107623
JournalJournal of Diabetes and its Complications
Volume34
Issue number9
DOIs
Publication statusPublished - Sep 2020
Externally publishedYes

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© 2020 Elsevier Inc.

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