PMC3975195_01
Papular hyperkeratotic lesions on the patient's back prior to treatment.
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F1
We describe a 65-year-old patient with long-standing type 2 diabetes mellitus who presented with a 2-year history of papular lesions about 3-4 mm in diameter, hyperkeratotic, very itchy and located primarily on the back (fig. 1).
Ulcer with cell detritus on the top and collagen bundles and elastic fibers on the bottom.
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F2
The lower edge of the ulcer was interrupted by collagen fibers running perpendicular to it (fig. 2).
Complete remission of the skin lesions after 2 months of treatment with topical tacalcitol.
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F3
The lesions were treated for 2 months with topical tacalcitol (once daily) and disappeared completely (fig. 3).