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Contributor

Bernard Cohen, MD

Diagnosis

necrobiosis lipoidica diabeticorum

Body Site

leg shin

Age

22 years

Pigmentation

light

Organization

confluent

Color

red brown yellow

Morphology

fibrosis (scar, increased collagen)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This healthy 22-year-old woman developed slowly progressive plaques on her shins when she was 6 years old. A glucose tolerance test was normal, and she denied a family history of diabetes mellitus. Topical steroids produced minimal improvement.

Description

large, symmetric, well demarcated, atrophic, fibrotic yellowish-reddish-brown plaques with overlying telangiectasias

Categories

diabetes mellitus associated atrophy

Image Added

2/17/2004 21:37:12

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Other Resources

PubMed Medline Plus Medscape

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