Necrobiosis lipoidica (NL) is a granulomatous skin disease.
Presents with violaceous red–brown skin plaques with palpable borders and yellow–brown atrophic centers with telangiectasia...
Lesions enlarge slowly from months to years.
Decreased sensation to pinprick and fine touch
Ulceration occurs typically after trauma.
Lesions, especially when ulcerated, may be painful a...
Treatment aimed at symptom management and controlling inflammation, although the best treatment remains controversial
Observation may be reasonable for initial management as t...
In-office follow-up recommended but no specific time interval is considered best
Evaluate for peripheral vascular disease, including ankle-brachial index, angiogra...
Kota SK, Jammula S, Kota SK, et al. Necrobiosis lipoidica diabeticorum: a case-based review of literature. Indian J Endocrinol Metab. 2012;16(4):614–620.
Pătraşcu V, Giurcă C, ...
L92.1 Necrobiosis lipoidica, not elsewhere classified
E10.620 Type 1 diabetes mellitus with diabetic dermatitis
E11.620 Type 2 diabetes mellitus with diabetic dermatitis
709.3 Degenerative...
NL is a granulomatous skin disease associated with DM.
It is associated with abnormal glucose tolerance, but progression does not typically correlate with glucose control.
Initial treatm...
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