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British Journal of Anaesthesia, 2003, Vol. 91, No. 1 159-160
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Correspondence

Relationship of difficult laryngoscopy to long-term non-insulin-dependent diabetes and hand abnormality detected using the ‘prayer sign’

V. Erden, G. Basaranoglu, H. Delatioglu and N. S. Hamzaoglu

Istanbul, Turkey

The first 10% of the full text of this article appears below.

Editor—About one-third of long-term insulin-dependent (type I) diabetics present with laryngoscopic difficulties.1 This is due, at least in part, to diabetic stiff joint syndrome characterized by a short stature, joint rigidity, and tight waxy skin.2 The fourth and fifth proximal phalangeal joints are most commonly involved. Patients with diabetic stiff joint syndrome have difficulty in approximating their palms and cannot bend their fingers backwards (the prayer sign, Fig. 1). This is due to non enzymatic glycosylation of . . . [Full Text of this Article]


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