A 58 year old diabetic patient on insulin therapy since 10 years.4 months ago she developed dyspnea and bilateral leg oedema and admitted as a case of heart failure, during this period she developed a blister in the medial malleolus of the right foot, it was itchy then developed to an ulcer that was treated with debridement and topical antibiotic.Then the same lesion spread to both legs, lower abdomen and near the nipple of the left breast.What could be the diagnosis and treatment plan,

  • #endo-diabetology
  • #dermatology
  • #general medicine

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Dr. U N

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Necrobiosis Lipoidica Diabeticorum