Necrobiosis lipoidica (NL) is a chronic granulomatous disease characterized by atrophic plaques typically located on the lower extremities.
Presents with red-brown papules that develo...
Lesions enlarge slowly from months to years.
Generally asymptomatic, but some lesions, especially when ulcerated, may be painful and pruritic.
Lesions typically are painless in 75% of c...
Treatment is aimed at symptom management ...
In-office follow-up is recommended every three months to one year based upon the severity of the disease, the rate of disease progression, and the need for treatm...
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
9418005 Necrobio...
NL is a granulomatous skin disease.
Historically thought to be associated with DM, but it has been found in association with other diseases and in healthy individuals as well.
Initial tr...
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<bold><italic>Figure 14.60.</bold></bold> Pretibial diabetic skin changes: necrobiosis lipoidica diabeticorum.