Necrobiosis lipoidica diabeticorum: A case-based review of literature

Necrobiosis lipoidica diabeticorum (NLD) is a rare chronic and granulomatous skin disorder that affects 0.3% of diabetic patients. Although the etiology and pathogenesis of NLD is still controversial, it is thought that microangiopathy has an important role. The legs are the most common site for NLD...

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Published inIndian journal of endocrinology and metabolism Vol. 16; no. 4; pp. 614 - 620
Main Authors Kota, Sunil Kumar, Jammula, Sruti, Kota, Siva Krishna, Meher, Lalit Kumar, Modi, Kirtikumar D
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.07.2012
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Care and treatment
Case studies
Case-Based Literature Review
Corticosteroids
Diabetes mellitus
Diagnosis
Dosage and administration
necrobiosis lipoidica
necrobiosis lipoidica diabeticorum
Risk factors
Skin diseases
India
necrobiosis lipoidica
Diabetes mellitus
necrobiosis lipoidica diabeticorum
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Summary:Necrobiosis lipoidica diabeticorum (NLD) is a rare chronic and granulomatous skin disorder that affects 0.3% of diabetic patients. Although the etiology and pathogenesis of NLD is still controversial, it is thought that microangiopathy has an important role. The legs are the most common site for NLD, but involvement of other areas such as the abdomen, upper extremities and scalp has been reported. There is no rational therapy. However, benefit has been reported from different treatment regimens such as drugs acting on the hemostatic mechanisms, corticosteroid therapy (topical, intralesional and systemic), enhancers of wound healing, surgery and immunomodulating therapies (including photochemotherapy). We report a 59-year-old female, who was a diabetic patient with multiple, disseminated lesions on the legs, which tended to disappear as the glycemic control was achieved. Hereby, we also review the existing literature for the evolving aspects of etiopathogenesis and treatment.
ISSN:2230-8210
2230-9500
DOI:10.4103/2230-8210.98023