Images in Clinical Medicine

Kim Eagle, M.D., Editor

Necrobiosis Lipoidica Diabeticorum

Stephen F. Templeton, M.D., and S. Wright Caughman, M.D.

N Engl J Med 1993; 329:320July 29, 1993

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Article

Figure 1 Necrobiosis Lipoidica Diabeticorum.

The photograph shows the anterior surface of the lower leg of a 20-year-old woman who had a 10-year history of poorly controlled diabetes mellitus. The lesion measures 9 by 5 cm and has characteristic atrophic, shiny, yellow-brown telangiectatic plaques with ulceration and scarring. Treatment consisted of whirlpool therapy, occlusive dressings, topical steroids, aspirin, and pentoxifylline.

Kim Eagle, M.D.

Stephen F. Templeton, M.D.
S. Wright Caughman, M.D.
Department of Dermatology, Emory University School of Medicine, Atlanta, GA 30322