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Article
March 1944

CHICAGO DERMATOLOGICAL SOCIETY

Author Affiliations

President; Secretary April 21, 1943

Arch Derm Syphilol. 1944;49(3):212-222. doi:10.1001/archderm.1944.01510090058017

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Abstract

Necrobiosis Lipoidica Diabeticorum (Numerous Lesions of Lower Extremities). Presented by Dr. Clark W. Finnerud.

Miss S. G., aged 22, who has diabetes, was first seen yesterday, because of an eruption of the lower extremities of four years' duration. She states that the majority of the lesions have at one time or another broken down to form ulcers. Her diabetes is said to be under control at this time.

There are present several dozen finger nail—sized to coin-sized plaques on the lower extremities, most of them with yellowish centers and erythematous to violaceous borders. A number of the lesions have crusting centers.

DISCUSSION

Dr. C. W. Laymon, Minneapolis, Minn.: In most cases necrobiosis does not respond to any form of treatment. I recently saw 1 patient, however, in whom it healed spontaneously. This woman had the ulcerated type, with large lesions on the legs, and rather

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