
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Necrobiosis lipoidica diabeticorum
Introduction
Template:DiseaseDisorder infobox
Overview
Overview
Necrobiosis lipoidica is a necrotizing skin condition that usually occurs in patients with diabetes. In such cases it may be called Necrobiosis Lipoidica Diabeticorum (NLD). NLD occurs in approximately 3% of the diabetic population, with the majority of sufferers being women (approximately 90%).
Necrobiosis lipoidica is closely related to Granuloma annulare.
Clinical Appearance
Clinical Appearance
NL/NLD most frequently appears on the patient’s shins, often on both legs. The lesions are often tender and may ulcerate when injured. The first symptom of NL/NLD is often a “bruised” appearance that is not necessarily associated with a known injury. The extent to which NL/NLD is inherited is not known.
Diagnosis
Diagnosis
Physical Examination
Skin
Extremity
External links
External links
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/9/94/Necrobiosis_lipoidica01.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/f/f7/Necrobiosis_lipoidica02.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/6/6d/Necrobiosis_lipoidica03.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/5/53/Necrobiosis_lipoidica04.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/a/a4/Necrobiosis_lipoidica05.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/a/a4/Necrobiosis_lipoidica06.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/9/96/Necrobiosis_lipoidica07.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/1/1f/Necrobiosis_lipoidica08.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/d/d7/Necrobiosis_lipoidica09.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/3/34/Necrobiosis_lipoidica10.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/6/68/Necrobiosis_lipoidica11.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/e/eb/Necrobiosis_lipoidica12.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/4/4d/Necrobiosis_lipoidica13.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/c/ce/Necrobiosis_lipoidica14.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/2/29/Necrobiosis_lipoidica15.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/1/1b/Necrobiosis_lipoidica16.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/1/10/Necrobiosis_lipoidica17.jpg)
![. Adapted from Dermatology Atlas.[1]](https://www.wikidoc.org/images/d/db/Necrobiosis_lipoidica18.jpg)