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Case Reports
. 2019 Aug 6:163:D3537.

[Rare skin condition in a child with diabetes mellitus]

[Article in Dutch]
Maartje M R Verhoeven  1   2 , Olivier Weijer  1
Affiliations
  • PMID: 31386312
Case Reports

[Rare skin condition in a child with diabetes mellitus]

[Article in Dutch]
Maartje M R Verhoeven et al. Ned Tijdschr Geneeskd. .

Abstract

Background: Necrobiosis lipoidica is a painless but disfiguring skin condition regularly complicated by ulceration and that is related to diabetes mellitus.

Case description: We present the case of a 17-year-old girl with type 1 diabetes mellitus in whom necrobiosis lipoidica was diagnosed. After falling with a bicycle, a traumatic ulcer developed. The patient underwent several different treatments (local and systemic glucocorticoids, antibiotics, hydroxychloroquine, calcineurin inhibitor, laser therapy and surgery), but these ultimately resulted in no more than minimal improvement of the skin condition.

Conclusion: Necrobiosis lipoidica is difficult to treat. Treatment recommendations are based on patient descriptions and results of small clinical trials.

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