Necrobiosis lipoidica

A47-year-old woman reported an 18-month-old pretibial rash on her left shin during a routine office visit. She had a history of type 1 diabetes mellitus (DM) and has been on insulin therapy for the past 13 years. She did not complain of any itching, pain, or bleeding from the rash. On examination, a...

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Published inJournal of community hospital internal medicine perspectives Vol. 3; no. 3-4; pp. 22627 - 1
Main Authors Pathak, Ranjan, Karmacharya, Paras, Raj Aryal, Madan, Smith-Coleman, Karen E
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 01.01.2013
Greater Baltimore Medical Center
Co-Action Publishing
Subjects
Clinical Imaging
Diabetes
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Internal medicine
Medical research
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Summary:A47-year-old woman reported an 18-month-old pretibial rash on her left shin during a routine office visit. She had a history of type 1 diabetes mellitus (DM) and has been on insulin therapy for the past 13 years. She did not complain of any itching, pain, or bleeding from the rash. On examination, an 8x3 cm elongated indurated plaque with telangiectases, central atrophy, and yellow pigmentation was noted. Reddishbrown pigmentation was present peripherally along the margins. No ulcerations were present. Patient was diagnosed to have necrobiosis lipoidica on the basis of history and typical features on examination. Citation: Journal of Community Hospital Internal Medicine Perspectives 2013, 3-4: 22627 - http://dx.doi.org/10.3402/jchimp.v3i3-4.22627
Bibliography:ObjectType-Article-1
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ISSN:2000-9666
2000-9666
DOI:10.3402/jchimp.v3i3-4.22627