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Necrobiosis Lipoidica: Treatment with Porcine Dressings, Split-thickness Skin Grafts and Pressure Garments

A case report and review of treatment modalities

Department of Dermatology, Henry Ford Hospital, Detroit, Michigan

Joseph Beninson

Department of Dermatology, Henry Ford Hospital, Detroit, Michigan

A 39-year old nondiabetic female had severely ulcerated necrobiosis li poidica of the legs which was refractory to medical management for 2 years. Surgical management with porcine grafting followed by autologous split-thick ness skin grafts successfully healed these ulcerations. With the use of custom- fitted contoured pads and pressure gradient stockings, the grafts have remained intact for 21/2 years, and there has been significant improvement of the nonul cerated plaques.

Angiology, Vol. 36, No. 11, 821-826 (1985)
DOI: 10.1177/000331978503601110


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