Necrobiosis Lipoidica Diabeticorum

An uncommon initial presentation of a common disease

“…Possible treatment includes topical glucocorticoids, tacrolimus, and tretinoin, intralesional triamcinolone, and systemic hydroxychloroquine. The successful use of TNF alpha inhibitors has also been reported (2)(3)(4). Our patient was treated with moisturizers and 0.03% tacrolimus ointment (Protopic) with limited clinical improvement.…”

Treatment with Benzoyl Peroxide of Ulcers on Legs Within Lesions of Necrobiosis Lipoidica Diabeticorum

“…In the matter of necrobiosis lipoidica diabeticorum not complicated by ulceration, several reports have described successful placement of split‐thickness grafts after excision of plaques in full thickness ,,. However, when large areas of necrobiosis lipoidica diabeticorum with ulceration are present, excision of lesions and grafting are not technically feasible.…”