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Necrobiosis Lipoidica in a Negro

Necrobiosis Lipoidica in a Negro Abstract Recent reviews of necrobiosis lipoidica have emphasized its rarity in the Negro.1,2 The following is a report of such a case occurring in association with diabetes mellitus.3 Report of a Case Diabetes mellitus and the appearance of 2 mm. dark crusted skin lesions occurred simultaneously in a 46-year-old Negro woman in 1957. She has received insulin, dietary therapy, and tolbutamide each in turn with progressive enlargement of the lesions. There was no history of Caucasian ancestry. A paternal cousin was also a diabetic.The patient was first seen by us on Aug. 24, 1961. Physical examination revealed a slightly obese woman, who appeared to be a full-blooded Negro. The fundi were normal. The blood pressure was 170/110. On the upper arm, anterior lower legs (Figure), and dorsum of the left foot were 4 round, infiltrated, 0.3 to 4 cm. lesions with reddish-brown, ulcerated and atrophic, telangiectatic, depressed centers. References 1. Smith, J. G., Jr.: Necrobiosis Lipoidica: A Disease of Changing Concepts , A.M.A. Arch. Derm. 74:280-285 ( (Sept.) ) 1956.Crossref 2. Chernosky, M. E.: Current Concepts of Necrobiosis Lipoidica , Southern Med. J. 54:25-29 ( (Jan.) ) 1961.Crossref 3. Engel, M. F., and Smith, J. G., Jr.: The Pathogenesis of Necrobiosis Lipoidica: Necrobiosis Lipoidica, a Form Fruste of Diabetes Mellitus , Arch. Derm. 82:791-797 ( (Nov.) ) 1960.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Necrobiosis Lipoidica in a Negro

Archives of Dermatology , Volume 85 (4) – Apr 1, 1962

Necrobiosis Lipoidica in a Negro

Abstract

Abstract Recent reviews of necrobiosis lipoidica have emphasized its rarity in the Negro.1,2 The following is a report of such a case occurring in association with diabetes mellitus.3 Report of a Case Diabetes mellitus and the appearance of 2 mm. dark crusted skin lesions occurred simultaneously in a 46-year-old Negro woman in 1957. She has received insulin, dietary therapy, and tolbutamide each in turn with progressive enlargement of the lesions. There was no history of Caucasian ancestry. A...
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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1962.01590040096016
Publisher site
See Article on Publisher Site

Abstract

Abstract Recent reviews of necrobiosis lipoidica have emphasized its rarity in the Negro.1,2 The following is a report of such a case occurring in association with diabetes mellitus.3 Report of a Case Diabetes mellitus and the appearance of 2 mm. dark crusted skin lesions occurred simultaneously in a 46-year-old Negro woman in 1957. She has received insulin, dietary therapy, and tolbutamide each in turn with progressive enlargement of the lesions. There was no history of Caucasian ancestry. A paternal cousin was also a diabetic.The patient was first seen by us on Aug. 24, 1961. Physical examination revealed a slightly obese woman, who appeared to be a full-blooded Negro. The fundi were normal. The blood pressure was 170/110. On the upper arm, anterior lower legs (Figure), and dorsum of the left foot were 4 round, infiltrated, 0.3 to 4 cm. lesions with reddish-brown, ulcerated and atrophic, telangiectatic, depressed centers. References 1. Smith, J. G., Jr.: Necrobiosis Lipoidica: A Disease of Changing Concepts , A.M.A. Arch. Derm. 74:280-285 ( (Sept.) ) 1956.Crossref 2. Chernosky, M. E.: Current Concepts of Necrobiosis Lipoidica , Southern Med. J. 54:25-29 ( (Jan.) ) 1961.Crossref 3. Engel, M. F., and Smith, J. G., Jr.: The Pathogenesis of Necrobiosis Lipoidica: Necrobiosis Lipoidica, a Form Fruste of Diabetes Mellitus , Arch. Derm. 82:791-797 ( (Nov.) ) 1960.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Apr 1, 1962

References