I saw this case in my Dermatology rotation today. A 14 year | Figure 1

AbeerQattan

Medical Student

I saw this case in my Dermatology rotation today. A 14-year-old diabetic girl who came with her mother to the OPD as a follow-up complaining that the lesions over her both legs, which started to expand five years ago until she started the medications, but still not improving. No family history of the same condition and her labs showed that her diabetes is uncontrolled. Necrobiosis lipoidica is a disorder of collagen degeneration with a granulomatous response, thickening of blood vessel walls, and fat deposition. In this case, it's a complication of the uncontrolled diabetes.
Reference: MedScape

Why you should join Figure 1

Similar cases



uncontrolled diabetes



34 years old, female. She consumes alcohol and has a family history of Diabetes Mellitus (her mother and sister). The patient came to the health unit for routine exams. She reported that she has been trying to get pregnant for 5 years, without success. On physical examination, the presence of hair in the chin and mandibular region was noted. The patient presents with grade I obesity and her fasting blood glucose is 118 mg/dL. Is it correct to start an oral antidiabetic, such as Metformin, in this case? Would any other exam be important for this patient?



women in her 50s known case of uncontrolled diabetes, hypertension and dyslipidemia complaining of a 1 year bilateral painful leg swelling with erythema, and ulceration. Loss of sensation in both legs, can’t walk. Couldn’t obtain more details. I’m a medical student and I wish you’d help me understand what’s her diagnosis? Thank you



15 days after healing, male patient, 53 years old, uncontrolled diabetes, untreated



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?