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.
PY  - 2019
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  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1164349891
ER  -