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November 1952


Author Affiliations

Chairman; Secretary Nov. 16, 1951

AMA Arch Derm Syphilol. 1952;66(5):660-664. doi:10.1001/archderm.1952.01530300116020

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Necrobiosis Lipoidica Diabeticorum. Presented by Dr. Bertram Shaffer and (by invitation) Dr. M. Gray.

S. K., a white woman aged 57, obese, flushed, with apparent dulling of intellectual faculties, presents on the right leg, just above the calf, a circular lesion about 1 in. (2.5 cm.) in diameter, showing a firm, depressed center with telangiectases and a slightly raised, reddish-yellow border. On the medial aspect of the lower part of the leg there is a similar, smaller lesion with an ulcerated center.

The patient has had hypertension for over 10 years and diabetes for at least 5 years. She takes 20 to 26 units of insulin daily but has had no adequate medical control for several years. The cutaneous lesions appeared about two years ago.

A complete blood cell count revealed nothing remarkable. The fasting blood sugar was 235 mg. and the blood urea nitrogen 14.1 mg., per 100 cc.

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