Tropical Diabetic Hand Syndrome: A Case Report and Literature Review
TDHS is characterised by variable hand symptoms ranging from a localised cellulitis, ulcer, or abscess, to a rapidly progressive gangrene and attendant overwhelming sepsis, which may result in permanent disability and fatality. Poor glycaemic control, poor nutrition, peripheral neuropathy, and low socioeconomic status are major risk factors contributing to the development of TDHS, usually in the setting of a preceding minor hand trauma.