TY - CHAP M1 - Book, Section TI - Necrobiosis Lipoidica A1 - Smith, Mindy A. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 30-year-old woman presents with discoloration on both lower legs. She has no personal history of diabetes; however, type 2 diabetes runs in her family. Visible inspection of the lesions is highly suggestive of necrobiosis lipoidica (NL) (Figure 231-1). There is hyperpigmentation, yellow discoloration, atrophy, and telangiectasias. The patient is not overweight and had no symptoms of diabetes. Her blood sugar at this visit is 142 after eating lunch 1 hour prior to testing. The following day, the patient's fasting blood sugar is 121, with a glycosylated hemoglobin of 6.1. The patient is informed of her borderline diabetes, and diet and exercise are prescribed. She is disturbed by her skin appearance and chooses to try a moderate-strength topical corticosteroid for treatment. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/10 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164349891 ER -