Necrobiosis lipoidica: treatment with porcine dressings, split-thickness skin grafts and pressure garments. A case report and review of treatment modalities.
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.
D000328:Adult; D001458:Bandages; D001684:Biological Dressings; D003020:Clothing; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000601:surgery / Q000628:therapy*; D009335:Necrobiosis Lipoidica / Q000601:surgery / Q000628:therapy*; D016038:Skin Transplantation