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Unilateral Necrobiosis Lipoidica of the Ischemic Limb

A Case Report

Departments of Internal Medicine A, the Bnai-Zion Medical Center and Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

Madeline Fields, MD

Departments of Internal Medicine A, the Bnai-Zion Medical Center and Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

Hillel Isseroff, MD

Departments of Internal Medicine A, the Bnai-Zion Medical Center and Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

Vladimir Wolffson, MD

Departments of Radiology, the Bnai-Zion Medical Center and Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

Daniel Yeshurun, MD

Departments of Internal Medicine A, the Bnai-Zion Medical Center and Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

A 63-year-old diabetic woman presented with new-onset intermittent claudication of the right calf accompanied by ipsilateral necrobiosis lipoidica (NL). The latter presented the typical appearance of oval, indurated plaques, with brownish-red margins and central atrophy, scattered over the right thigh and calf. Arteriography demonstrated severe obstructive lesions on the right femoral artery. NL and claudication spared the left leg. A possible ischemic pathogenesis of NL emerges from this observation and is supported by recent studies in the literature.

Angiology, Vol. 54, No. 2, 239-242 (2003)
DOI: 10.1177/000331970305400215


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