Necrobiosis lipoidica: treatment with porcine dressings, split-thickness skin grafts and pressure garments. A case report and review of treatment modalities

Abstract

A 39-year old nondiabetic female had severely ulcerated necrobiosis lipoidica of the legs which was refractory to medical management for 2 1/2 years. Surgical management with porcine grafting followed by autologous split-thickness skin grafts successfully healed these ulcerations. With the use of custom-fitted contoured pads and pressure gradient stockings, the grafts have remained intact for 2 1/2 years, and there has been significant improvement of the nonulcerated plaques.