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Successful Treatment of Necrobiosis Lipoidica Diabeticorum With Photodynamic Therapy
Michael Heidenheim, MD;
Gregor B. E. Jemec, MD, DMedSci
Department of Dermatology, Roskilde Hospital, Roskilde, Denmark
Arch Dermatol. 2006;142:1548-1550.
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REPORT OF A CASE
A 60-year-old white woman was seen at our clinic with a 10-year history of 4 asymptomatic progressive shiny patches on the right lower leg. The patient also had type 1 diabetes mellitus that was well controlled and had been so throughout the period; in addition to daily insulin, the only medication used was a nonsteroidal anti-inflammatory drug to treat symptoms of arthrosis. She had never received skin grafts; had no ulceration, deep venous thrombosis, or cellulitis; had never undergone a surgical procedure; and had never experienced trauma to the legs. The patches were initially red to brown, but 2 had progressed to yellow, slightly atrophic plaques, and 2 lesions had enlarged to a diameter of 5 to 6 cm with prominent red borders. Physical examination revealed annular, well-circumscribed erythematous plaques with waxy, telangiectatic centers and slightly elevated red borders. None of . . . [Full Text of this Article]
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