RT Book, Section A1 Smith, Mindy A. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164349891 T1 Necrobiosis Lipoidica T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK dermatology.mhmedical.com/content.aspx?aid=1164349891 RD 2024/10/06 AB A 30-year-old woman presents with discoloration on both lower legs. She has no personal history of diabetes; however, type 2 diabetes runs in her family. Visible inspection of the lesions is highly suggestive of necrobiosis lipoidica (NL) (Figure 231-1). There is hyperpigmentation, yellow discoloration, atrophy, and telangiectasias. The patient is not overweight and had no symptoms of diabetes. Her blood sugar at this visit is 142 after eating lunch 1 hour prior to testing. The following day, the patient's fasting blood sugar is 121, with a glycosylated hemoglobin of 6.1. The patient is informed of her borderline diabetes, and diet and exercise are prescribed. She is disturbed by her skin appearance and chooses to try a moderate-strength topical corticosteroid for treatment.