What is the nestrobiosis of lipoidica diabeticorum?
non -cellular lipoidica diabeticorum, also called NLD, is a rare disorder that produces large, usually painless skin lesions on the lower legs. As the name suggests, non -color lipoidica diabeticorum is most commonly seen in patients who have diabetes. Over the course of a few months or years, small red or brown spots of the skin develop on yellow, shiny ulcers on shaving. Ulcers themselves usually do not cause health problems, but people often decide to undergo treatment to improve their appearance and reduce the risk of infection. Since diabetes is the basic condition in almost all cases, it is assumed that the ulcers of the legs are responsible for blood vessel disease in diabetic patients. Abnormally high blood glucose levels cause small blood vessels in the legs thicken, swell and eventually burst. Because the blood vessels in the legs are very close to the surface of the skin, inflammation and bleeding can cause ulceration.
In most cases, non -color lipoidica diabeticorum develops very slowly. The person first notice the collections of red, slightly elevated bumps that gradually brown and seem to spread. As the ulcer grows, it yellowed in the middle and took over the glossy appearance of a similar wax. It is unusual that lesions itch or cause pain, but the broken skin area can be infected and lead to other symptoms. The ulcers are limited to shin in almost all cases, although the condition can rarely appear on the hands, forearms or face.
The physician may diagnose non -cellular lipoidica diabeticorum by careful examination of skin ulcers and ask about the patient's medical history. A small sample of the skin tissue can be collected for histological analysis. Scientists of the medical laboratory can see tissue to determine whether blood and fat cells appear in accordance with pathology of lipoidica diabeticorum. If the patient has not yet been diagnosed with diabetes, blood tests are usually performedY has been confirmed or excluded.
Treatment measures depend on the size and severity of ulcers. In most cases, doctors focus on limiting the risk of infections by suggesting that patients protect their feet and use local antibiotics on open wounds. Local and injected corticosteroids are sometimes used to reduce inflammation in developmental lesions.
Surgery is often not recommended, but a person who is worried about the aesthetic appearance of his feet can choose a procedure. A plastic surgeon can connect lesions and tissue on graft skin from anywhere on the body on the shin. However, it is possible for non -creviosis of lipoidica diabeticorum to return after surgery.