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The demographic data of groups did not show any difference except in age. There was no difference between the mean SSSS and MODS of groups A and B1. Groups B2, C1, and C2 had higher average SSSS and MODS than group A (p0.05). Groups B2 and C2 had higher SSSS and MODS than group-B1 and C1. Group C1 and C2 had higher scores than groups B1 and B2 (p0.05). The severity of LCS was significantly related to the duration of DM in groups-B and C (p0.05). Uncontrolled and longer duration of DM had significant elastin fibers loss and also higher rate of di