Unilateral necrobiosis lipoidica of the ischemic limb--a case report.
A 63-year-old diabetic woman presented with new-onset intermittent claudication of the right calf accompanied by ipsilateral necrobiosis lipoidica (NL). The latter presented the typical appearance of oval, indurated plaques, with brownish-red margins and central atrophy, scattered over the right thigh and calf. Arteriography demonstrated severe obstructive lesions on the right femoral artery. NL and claudication spared the left leg. A possible ischemic pathogenesis of NL emerges from this observation and is supported by recent studies in the literature.
Naschitz
Jochanan E
JE
Department of Internal Medicine A, Bnai-Zion Medical Center, Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel. Naschitz@tx.technion.ac.il
Fields
Madeline
M
Isseroff
Hillel
H
Wolffson
Vladimir
V
Yeshurun
Daniel
D
D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007383:Intermittent Claudication / Q000503:physiopathology; D007511:Ischemia / Q000503:physiopathology; D007866:Leg / Q000098:blood supply*; D007871:Leg Ulcer / Q000503:physiopathology; D008875:Middle Aged; D009335:Necrobiosis Lipoidica / Q000503:physiopathology*; D011859:Radiography