A female suffering from diabetes presented with the following skin lesions.What can be the most possible diagnosis?
A. Acanthosis Nigricans.
B. Erythema Marginatum.
C. Necrobiosis lipoidica.
Ans:C. Necrobiosis lipoidica.
NECROBIOSIS LIPOIDICA DIABETICORUM
- A disorder of collagen degeneration with a granulomatous response, thickening of blood vessel walls, and fat deposition
- The main complication of the disease is ulceration, usually occurring after trauma
- Strongly associated with diabetes mellitus
- Usually present with shiny, asymptomatic patches that slowly enlarge over months to years
- The patient’s main complaint is the unsightly cosmetic appearance of the lesions.
- Most cases of necrobiosis lipoidica occur on the pretibial area