Tong Lana X, Penn Lauren, Meehan Shane A, Kim Randie H
The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, New York.
Dermatol Online J. 2018 Dec 15;24(12):13030/qt0qg3b3zw.
We present a case of necrobiosis lipoidica (NL) of the right abdomen in a 75-year-old man. A skin biopsy performed showed a layered infiltrate of mono and multinucleated histiocytes palisaded around degenerated collagen bundles. Laboratory workup was unremarkable. The patient was treated with topical corticosteroids with cessation of progression of his disease, although the eruption did not resolve. There are a number of treatments for NL reported in the literature, all with varying efficacy. Although NL lesions are usually asymptomatic, patients with NL must be monitored closely for signs of ulceration or malignant transformation, in which case more aggressive treatment options may be warranted.
