Necrobiosis lipoidica (NL) is a granulomatous skin disease.
Presents with red-brown papules that develop into plaques with violaceous or red-brown raised borders and atrophic, yellow-...
Lesions enlarge slowly from months to years.
Generally asymptomatic but some lesions, especially when ulcerated, may be painful and/or pruritic
Ulceration occurs in up to 1/3 of cases, ...
Treatment is aimed at symptom management and controlling inflammation, although the best treatment remains controversial.
Observation may be reasonable for initial management ...
In-office follow-up recommended
Evaluate for concurrent peripheral arterial and venous disease depending on clinical suspicion, and counsel for smoking cessation b...
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 granulomfatous skin disease.
Historically thought to be associated with DM, but this association has been questioned in recent literature; it has been found in association with ...
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<bold><italic>Figure 14.60.</bold></bold> Pretibial diabetic skin changes: necrobiosis lipoidica diabeticorum.