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July 1961

Necrobiosis Lipoidica in a Three-Year-Old Girl

Author Affiliations


Clinical Instructor, Department of Dermatology (Dr. Chernosky); Chairman (Dr. Everett R. Seale), Baylor University College of Medicine, Houston, Texas.

Arch Dermatol. 1961;84(1):135-136. doi:10.1001/archderm.1961.01580130141023

Although necrobiosis lipoidica (diabeticorum) most frequently develops in patients in the third decade of life, reports indicate the onset of these skin lesions at age 5 to 72 years.1,2 We herein report such a case in a 3-year-old child.

Report of a Case  Diabetes mellitus was discovered in a white female patient at about the age of 3 years. Welldefined, persistent, "red and swollen" skin lesions over the anterior tibial surfaces were noted by the physician, but apparently their relation to the diabetes was not recognized. The patient was placed on NPH insulin and a 1,200 calorie diabetic diet.The patient was first seen by a dermatologist in November, 1958, at which time she was 41/2 years old. Physical examination revealed a frail, lethargic, white female child who seemed chronically ill. Her vital signs were within normal limits. The conjunctivae were slightly hyperemic, but the ocular fundi