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A Woman With Lobular Plaques on Her Shin

Volume 59 - Issue 2 - February 2019

  • Authors:
    Jason Le, DO
    Naval Flight Surgeon for Command Training Air Wing 1 at Naval Air Station Meridian, Mississippi

    Michael S. Dent, MD
    Dermatology Clinic Department Head and Staff Dermatologist at Naval Hospital Pensacola, Florida

    Disclosure:
    The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, the Department of Defense, or the US Government.

    Citation:
    Le J, Dent MS. A woman with lobular plaques on her shin. Consultant. 2019;59(2):53-54.

     

    A 22-year-old woman with a history of type 1 diabetes mellitus presented with a several-year history of large asymptomatic plaques on her right shin that had been stable for the past 2 years. On physical examination, 2 well-demarcated, irregularly shaped, red, lobular plaques with atrophic, erythematous, and yellow-tinged portions were present on her right leg. The lesion on her upper right shin measured 3.5 × 3.0 cm, and the one on the lower right shin measured 7.0 × 4.0 cm (Figures).

    Fig 1

    Fig 2

     

    Based on the history and physical examination, what is the diagnosis?
    A. Granuloma annulare
    B. Cutaneous sarcoidosis
    C. Necrobiosis lipoidica
    D. Necrobiotic xanthogranuloma
    E. Diabetic dermopathy

     

    ANSWER ON NEXT PAGE.