... mellitus but is otherwise healthy. The most likely diagnosis is. 1. Granuloma annulare. 2. Necrobiosis lipoidica. 3. Necrobiotic xanthogranuloma. 4. Sarcoidosis.
Dermacase Current Practice
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Pratique courante
Can you identify this condition? Rob Lacroix Mike Kalisiak
MD
Jaggi Rao
MD FRCPC
A
young female patient presents with a chronic large, waxy, yellowish-red lesion on her lower extremity, characterized by telangiectases, central atrophy, and several ulcerations. It has persisted for several years and various creams have been only minimally successful. She has a history of type 1 diabetes mellitus but is otherwise healthy.
The most likely diagnosis is 1. Granuloma annulare 2. Necrobiosis lipoidica 3. Necrobiotic xanthogranuloma 4. Sarcoidosis 5. Erythema nodosum
Answer on page 867 Vol 54: june • juin 2008 Canadian Family Physician • Le Médecin de famille canadien
