title: Perforating elastosis in necrobiosis lipoidica diabeticorum.
abstract: A 58-year-old diabetic woman with necrobiosis lipoidica diabeticorum demonstrated lesions with raised, prominent borders. These areas were found on biopsy to have transepidermal elimination of elastic fibers. We present this case as a unique finding and review the characteristics and possible mechanisms of transepidermal elimination.
authors.affiliation: Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232-5229, USA.
authors.forename: L
authors.initials: L
authors.lastname: McDonald
authors.forename: M D
authors.initials: MD
authors.lastname: Zanolli
authors.forename: A S
authors.initials: AS
authors.lastname: Boyd
mesh_terms: D001706:Biopsy; D003094:Collagen / Q000648:ultrastructure; D004547:Elastic Tissue / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009335:Necrobiosis Lipoidica / Q000473:pathology*; D012867:Skin / Q000473:pathology
chemical_list: D003094:Collagen