PMC7677668_01
Clinical photograph of necrobiosis lipoidica on the trunk, showing darkly pigmented papules, plaques, a large annular lesion with hypopigmented atrophic center and prominent telangiectasia.
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On the right lateral chest wall posterior to axillary line, he had a red discolored patch with superficial capillaries and yellow discoloration at the center measuring approximately 2cm x 1cm, which remained constant, without changes in size or character (Fig. 1).
Histology of necrobiosis lipodica showing dense collagen material deposition and subcutaneous tissue sclerosis. The upper dermis and papillary dermis contained few inflammatory cells.
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The upper dermis and papillary dermis contained few inflammatory cells (Fig. 2).
Necrobiosis lipoidica developed on the lower limb.
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Initial treatment with clobetasol propionate, tacrolimus, and topical corticosteroid cream was unsuccessful, the patient is still being followed up and further NL lesions developed on the lower limb (Fig. 3).