Necrobiosis lipoidica diabeticorum as a sign of diabetes

Abstract EN

Necrobiosis lipoidica (NL) is a rare chronic disease.

The exact cause is unknown, however, different theories suggest that it is due to a vascular disturbance involving immune complex deposition or microangiopathic changes resulting in collagen degeneration.

NL has increased prevalence in patients with diabetes and is more common in females aged 30-40 years old.

All patients with NLD should undergo screening for diabetes with yearly HbA1c measurements.

NLD could be the first presenting sign of diabetes.

A thirty-four-year-old Bahraini female, known case of gestational diabetes on diet presented with right leg skin changes.

The patient was diagnosed clinically and confirmed by punch biopsy as a case of NLD.

The patient was treated with Daivobet and Daflon tablets twice a day, which resulted in noticeable improvement