Journal of Dr. NTR University of Health Sciences

: 2018  |  Volume : 7  |  Issue : 4  |  Page : 308--310

Rheumatological manifestation of diabetes: “Namaste” sign

M Mahesh, N Jeswanth Reddy, S Mamatha, M Madhumitha 
 Department of General Medicine, JSS Medical College, Jss Academy of Higher Education (Deemed to be University), Mysuru, Karnataka, India

Correspondence Address:
Dr. N Jeswanth Reddy
Flat No-304, Gowrav Residency, K R Mohalla, Lakshmipuram, Mysore - 570 025, Karnataka

In addition to the well-known complications such as neuropathy, nephropathy, retinopathy, diabetes mellitus can also result in a variety of rheumatologic manifestations, some of which can significantly affect a patient's quality of life. Diabetic cheiroarthropathy (DCA), which affects the hands clinically, manifests as painless limited extension of the proximal metacarpophalangeal joints and/or interphalangeal joints with spontaneous flexion of the fingers. There is decreased ability to fully flex or fully extend the fingers. This is the so-called “Namaste” or “Prayer” sign. This sign gives an indication of metabolic control of diabetes and microvascular disease. We hereby report a middle-age male patient admitted for fever and was incidentally found positive for this sign. Fundoscopy revealed nonproliferative diabetic retinopathy and there was microalbuminuria. The diagnosis is mainly clinical. It is imperative for clinicians to remember that the presence of DCA carries with it a significant relationship with microvasculopathy.

How to cite this article:
Mahesh M, Reddy N J, Mamatha S, Madhumitha M. Rheumatological manifestation of diabetes: “Namaste” sign.J NTR Univ Health Sci 2018;7:308-310

How to cite this URL:
Mahesh M, Reddy N J, Mamatha S, Madhumitha M. Rheumatological manifestation of diabetes: “Namaste” sign. J NTR Univ Health Sci [serial online] 2018 [cited 2023 Feb 5 ];7:308-310
Available from:;year=2018;volume=7;issue=4;spage=308;epage=310;aulast=Mahesh;type=0