Ulcerated necrobiosis lipoidica diabeticorum in a patient with a history of generalized granuloma annulare.
Granuloma annulare and necrobiosis lipoidica diabeticorum have rarely been reported in the same patient. We describe the unusual case of a woman with diabetes and a history of generalized granuloma annulare who noted leg ulcers that clinically represented ulcerated necrobiosis lipoidica diabeticorum and had histologic features of necrobiosis lipoidica diabeticorum and granuloma annulare. Her condition responded to treatment with antiplatelet agents.
Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia 19104.
M H
MH
Berkson
E E
EE
Bondi
D J
DJ
Margolis
D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D016460:Granuloma Annulare / Q000150:complications* / Q000473:pathology; D006801:Humans; D007871:Leg Ulcer / Q000150:complications* / Q000473:pathology; D009335:Necrobiosis Lipoidica / Q000150:complications* / Q000473:pathology