Disseminated perforating necrobiosis lipoidica: A case report and literature review

Abstract

Key Clinical MessageNecrobiosis lipoidica is a rare cutaneous granulomatous disease that mainly affects diabetic patients. The perforating type of the disease is an uncommon variant that is resistant to therapy and can be easily identified using dermoscopy.AbstractPerforating necrobiosis lipoidica (NL) is a rare NL variant that primarily affects patients with diabetes mellitus (DM). Dermoscopy helps to differentiate this type of disease. The disseminated form of perforating NL mainly occurs in the setting of DM. Here we present a case of disseminated perforating NL in a 24-year-old woman with type 1 DM. Disseminated perforating necrobiosis lipoidica occuring in the context of type 1 diabetes mellitus.image