영문초록
Necrobiosis lipoidica is a chronic granulomatous disease that has a well-known association with diabetes mellitus. It usually affects the bilateral lower legs of middle-aged women. Over time, the clinical features vary from red-brown papules to sharply demarcated yellow-brown plaque with atrophic center. Some of the lesions may become ulcerated, especially in diabetic patients. A 61-year-old Korean female with a history of diabetes, ischemic heart disease, and pancreatic cancer was referred to our clinic for evaluation of the painful papulovesicles on her left lower leg. Under the assumptive diagnosis of herpes zoster, we immediately started an antiviral agent. However, her skin lesions rapidly increased in size and in number, and progressed to the multiple ulcerations in 9 days. Histopathologic examination showed several poorly circumscribed necrobiotic granulomas in the deep dermis and subcutis levels of the skin. In addition, prominent vascular ectasia and vasculitis were observed. We diagnosed the patient as having necrobiotic lipoidica, and treated her with oral dapsone, colchicine, phentoxifylline and antiplatelets. Her leg ulcerations healed after four weeks of treatment. (Korean J Dermatol 2013;51(3):215∼218)
추천자료
정상신생아 간호(기도유지, 체온유지, 감염관리 - 눈간호, 제대간호 등, 영양공급)
[영남대] 우리가 아픈이유 [중간기말] 타이핑입니다... 주차별루 있습니다.
[우리가아픈이유]기말고사 최종정리본
[우.아.이]기말고사 최종정리본
응급카트 약물, 기구
[합병증][당뇨병][중풍][자가통증조절법][수술][출혈][분만]당뇨병의 합병증, 중풍의 합병증, 자가통증조절법의 합병증, 수술의 합병증, 출혈의 합병증, 분만의 합병증 분석(합병증, 당뇨병, 중풍, 자가통증조절법)
[당뇨병][당뇨][질병][당뇨병 정의][당뇨병 분류][합병증][민간요법]당뇨병(당뇨)의 정의, 당뇨병(당뇨)의 분류, 당뇨병(당뇨)의 원인, 당뇨병(당뇨)의 증상, 당뇨병(당뇨)의 합병증, 당뇨병(당뇨)의 민간요법 분석
신생아실습 케이스스터디
[인터넷강의]실용한의학
[질환][질병][피부질환]질환(질병)과 피부질환, 질환(질병)과 정신질환, 질환(질병)과 부인과질환, 질환(질병)과 호흡기질환, 질환(질병)과 심장질환, 질환(질병)과 심혈관계질환, 질환(질병)과 근골격계질환 분석
분야
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