Necrobiosis lipoidica
Classification according to ICD-10 | |
---|---|
E10-E14 | Diabetes mellitus |
.6 | With other specified complications |
L92.1 | Necrobiosis lipoidica, not elsewhere classified |
ICD-10 online (WHO version 2019) |
The necrobiosis lipoidica (or necrobiosis lipoidica ) is a rare granulomatous inflammation of the middle dermis with accumulation of lipids , often with a diabetes mellitus is associated. The inflammation leads to necrosis of the skin and occurs mostly on the extensor muscles of the lower legs.
The disease begins with intensely red, lenticular-sized papules , from which somewhat sunken, disc-shaped, to palm-sized, yellow, sclerotic foci with telangiectasias arise, which are surrounded by a slightly raised livid edge. Ulcerations that heal poorly develop in about a third of cases .
About 0.3% of diabetics develop necrobiosis lipoidica. Women are affected more often than men.
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- Gerd Herold . Internal Medicine. Self-published, Cologne 2013, ISBN 978-3-9814660-2-7 , p. 720.
- W. Pschyrembel. Clinical Dictionary. 259th edition. de Gruyter, 2002, ISBN 3-11-016522-8 .