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MARVIN E. CHERNOSKY, M.D.; CAPT. JERE D. GUIN, USAF (MC)

Arch Dermatol. 1961;84(1):135-136.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Although necrobiosis lipoidica (diabeticorum) most frequently develops in patients in the third decade of life, reports indicate the onset of these skin lesions at age 5 to 72 years.^1,2 We herein report such a case in a 3-year-old child.

Report of a Case

Diabetes mellitus was discovered in a white female patient at about the age of 3 years. Welldefined, persistent, "red and swollen" skin lesions over the anterior tibial surfaces were noted by the physician, but apparently their relation to the diabetes was not recognized. The patient was placed on NPH insulin and a 1,200 calorie diabetic diet.

The patient was first seen by a dermatologist in November, 1958, at which time she was 41/2 years old. Physical examination revealed a frail, lethargic, white female child who seemed chronically ill. Her vital signs were within normal limits. The conjunctivae were slightly hyperemic, but the ocular fundi . . . [Full Text PDF of this Article]

Author Affiliations
HOUSTON, TEXAS

Clinical Instructor, Department of Dermatology (Dr. Chernosky); Chairman (Dr. Everett R. Seale), Baylor University College of Medicine, Houston, Texas.

Footnotes
Submitted for publication March 1, 1961.

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