What is necrobiosis lipoidica diabeticorum?

Updated: Jan 30, 2020
  • Author: Ginard I Henry, MD; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Answer

Answer

Necrobiosis lipoidica diabeticorum is a plaquelike, depressed, atrophic yellow lesion typically found in patients with diabetes (see the image below).

Necrobiosis lipoidica diabeticorum. Necrobiosis lipoidica diabeticorum.

It has a strong association with diabetes and actually may be a clinical prodrome of the onset of the disease systemically. [39] It rarely is found in locations other than the lower extremities and seldom is found in the absence of diabetes. The lesion tends to progress from a red plaque-like area to one with atrophy that occasionally may ulcerate. Controlling the diabetes does not tend to modulate the clinical outcome of this lesion. Successful management occasionally has required resection and skin grafting of the involved areas.


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