Necrobiosis lipoidica: Difference between revisions

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==Overview==
==Overview==
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==Clinical Appearance==
==Clinical Appearance==
NL/NLD most frequently appears on the patient's shins, often on both legs.  The lesions are often tender and may ulcerate when injured. The first symptom of NL/NLD is often a "bruised" appearance that is not necessarily associated with a known injury. The extent to which NL/NLD is inherited is not known.  
NL/NLD most frequently appears on the patient's shins, often on both legs.  The lesions are often tender and may ulcerate when injured. The first symptom of NL/NLD is often a "bruised" appearance that is not necessarily associated with a known injury. The extent to which NL/NLD is inherited is not known.  
==Diagnosis==
===Physical Examination===
====Skin====
=====Extremity=====
<gallery>
Image:Necrobiosis lipoidica01.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica02.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica03.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica04.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica05.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica06.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica07.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica08.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica09.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica10.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica11.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica12.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica13.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica14.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica15.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica16.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica17.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Necrobiosis lipoidica18.jpg|Necrobiosis lipoidica|. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
</gallery>


==External links==
==External links==
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{{Diseases of the skin and subcutaneous tissue}}
{{Diseases of the skin and subcutaneous tissue}}
[[Category:Dermatology]]
[[Category:Dermatology]]
{{SIB}}
 


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Latest revision as of 17:14, 12 September 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Necrobiosis lipoidica is a necrotizing skin condition that usually occurs in patients with diabetes. In such cases it may be called Necrobiosis Lipoidica Diabeticorum (NLD). NLD occurs in approximately 3% of the diabetic population, with the majority of sufferers being women (approximately 90%).

Necrobiosis lipoidica is closely related to Granuloma annulare.

Clinical Appearance

NL/NLD most frequently appears on the patient's shins, often on both legs. The lesions are often tender and may ulcerate when injured. The first symptom of NL/NLD is often a "bruised" appearance that is not necessarily associated with a known injury. The extent to which NL/NLD is inherited is not known.

Diagnosis

Physical Examination

Skin

Extremity

External links


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  1. ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 "Dermatology Atlas".
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