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Necrobiosis lipoidica
Lana X Tong, Lauren Penn, Shane A Meehan
1The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, New York. Randie.Kim@nyulangone.org.
Dermatology Online Journal
|January 25, 2019
Summary
Necrobiosis lipoidica (NL) is a rare skin condition. Topical corticosteroids can halt NL progression but may not resolve the lesions, necessitating ongoing monitoring for complications.
Area of Science:
- Dermatology
- Pathology
Background:
- Necrobiosis lipoidica (NL) is a chronic granulomatous skin condition.
- It often affects the shins but can occur elsewhere, as in this abdominal case.
Observation:
- A 75-year-old male presented with necrobiosis lipoidica on his right abdomen.
- Skin biopsy revealed characteristic histiocytic infiltrate and degenerated collagen.
Findings:
- Laboratory investigations were unremarkable.
- Treatment with topical corticosteroids halted disease progression but did not achieve complete resolution.
Implications:
- This case highlights topical corticosteroids as a viable option for managing NL progression.
- Close monitoring for ulceration or malignant transformation is crucial for patients with necrobiosis lipoidica.