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March 1956


AMA Arch Derm. 1956;73(3):295-300. doi:10.1001/archderm.1956.01550030097024

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Insulin Lipodystrophy. Presented by Dr. Anker K. Jensen.

A 71-year-old white woman was seen on March 31, 1955, presenting a dermatitis on her hands and some depressed areas on the thighs and abdomen.

She has had diabetes since 1950 for which she received injections of insulin given in the anterior surface of both thighs.

About two years ago she noticed that the fat seemed to be disappearing from the lateral surfaces of both thighs, until now "it feels as if the skin was attached to the bone," and six months ago a similar condition started on the anterior surface of both thighs and on the lower abdomen.

Twenty years ago for a period of seven or eight years she wore a metal brace for a kidney support.

Physical examination reveals a depressed area on the lateral surface of each upper thigh about 2 in. wide and 8 in. long. The

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