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Biomedical subjects

T A Akintewe

Publications and source records attributed to T A Akintewe.

7 recordsLinked to original sources

Obesity and hypertension in diabetic Nigerians.

Over a 9 months period, 675 old and new diabetic patients were examined in the medical outpatient department of the University College Hospital, Ibadan, to ascertain the prevalence of and relationship between hypertension and obesity. For the purpose of the study, the criterion for hypertension was diastolic blood pressure of 95 mmHg and above on three or more occasions, that for obesity was a body mass index of 28 and above. Of the 675 patients, 79 (11.7%) were obese hypertensives, 102 (15.1%) were non-obese hypertensives, 116 (17.2%) were obese normotensives and 378 (56%), non-obese normotensives. The total number of hypertensives was 181 (26.8%) and of obese patients, 195 (28.9%). A significant association between obesity and hypertension was found among the diabetic patients. The association was such that we feel greater efforts are required to curtail the growing number of obese and hypertensive diabetic patients. This is to combat the present trend of cultural and dietary changes in many African communities, tending to produce more overweight, hypertensive and diabetic problems.

Blood Pressure

Periodontitis diabetica. A case report from Nigeria.

A 16-year-old female presented with severe chronic periodontitis and previously unsuspected diabetes mellitus. Her diabetes was mild initially. As the periodontitis improved with antibiotics, het diabetic control worsened because she was able to eat more. In the light of their personal observations and this case report, the authors believe there to be a direct association between diabetes mellitus and periodontitis.

Adolescent

Hand and foot ulcers in Nigerian diabetics - a comparative study.

A total of 160 consecutive diabetic patients were examined for hand and foot ulcers. We found 6 patients with ulcers of the hand. Antecedent trauma, all trivial, was noted in all the patients with ulcers. Five patients with foot ulcers had peripheral neuropathy and 1 patient had occlusive vascular disease. Only 3 of the 10 diabetic foot cases had a history of trauma. The mean age of the patients with hand and foot ulcers was 43 years and 56 years respectively. Staphylococcus was the commonest isolate. Digital gangrene was a more common complication in hand ulcers compared with the foot.

Adult

Insulin resistant diabetes mellitus associated with acanthosis nigricans and systemic lupus erythematosus in a Nigerian male.

A case is reported of diabetes mellitus associated with insulin resistance, acanthosis nigricans and systemic lupus erythematosus. This will be the first such case described in a Nigerian and most likely the first case in an African, of this recently characterized syndrome. An awareness about this syndrome by physicians in this environment should lead to a prompt referral to where there are adequate facilities for an early diagnosis which could prove to be life-saving.

Acanthosis Nigricans