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Diabetes In Control.com Issue #143
Mark A Marinella A 38-year-old woman
with poorly controlled type 1 diabetes mellitus complicated by diabetic
nephropathy was admitted for coronary angiography following an abnormal thallium
study. On physical examination she had well-demarcated, waxy erythematous
plaques with prominent telangiectasias over both shins (figure). These lesions
are characteristic of necrobiosis lipoidica diabeticorum, an uncommon
granulomatous inflammatory dermopathy which affects less than 1% of patients
with diabetes mellitus What is
a characteristic of Necrobiosis Lipoidica Diabeticorum?
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