I want to talk a little bit about a skin condition that can happen with people with diabetes.  The condition technically is called necrobiosis lipoidica.  It’s really a disorder that affects the skin and the tissue underneath the skin, the collagen fibers, where there is a response of the thickening of the blood vessels and the blood vessel walls and also some deposits of fat that happen in the deeper area of the skin. These may cause sores or ulcers in the leg and sometimes these can even kind of change into some type of a cancer on the leg.  These types of conditions, we’re not really sure what causes them, but we do see a strong relationship between diabetes and this condition.  Many people, they tend to show up in the office with these lesions or these sores on their legs and they look kind of different.  They may have some dark brown discoloration on their legs or they may have little sores on their legs where there’s a change of the pigment on the skin.  This tends to be on the front of the leg region.  For treating these, you have to be careful of what type of treatment you’re doing.  Sometimes they’re not going to be painful, sometimes you can just kind of live with them, but other times you can use some type of a treatment on them and you should really speak to your doctor about how to treat them.  So sometimes for treatment, you can use a steroid cream that can help sometimes, but really in most cases you should be seeing some type of a dermatologist or a physician to help with that.  So that’s the condition called necrobiosis lipoidica.


To Your Health,
Dr. Donald Pelto