Tropical diabetic hand syndrome: An under recognized complication of diabetes mellitus

ABSTRACT Foot ulcers are the most common cause of lower limb amputation in patients with diabetes worldwide. Similarly, infection in the hands, also known as tropical diabetic hand syndrome (TDHS), can also be limb-threatening or life-threatening for patients with diabetes. Many guidelines address the classification and management of diabetic foot ulcers, but there is scarce information to guide the management of diabetic hand syndrome. We present a case of a 60-year-old woman with TDHS who recovered well with aggressive glycaemic and infection control. Our aim is to sensitize clinicians regarding the early recognition and meticulous management of this complication to save a working hand and decrease the associated morbidity and mortality.