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CASE REPORT
Necrobiosis lipoidica dabeticorum (NLD) in a patient with long-lasting type 1 diabetes – case description
 
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1
IMA - Med Centrum Medyczne Lublin
 
2
Oddział Dermatologii Wojewódzkiego Szpitala Zespolonego w Kielcach
 
3
Katedra i Klinika Chorób Wewnętrznych Uniwersytetu Medycznego w Lublinie
 
 
Corresponding author
Andrzej Prystupa
Katedra i Klinika Chorób Wewnętrznych Uniwersytetu Medycznego w Lublinie
 
 
Med Og Nauk Zdr. 2013;19(4):403-405
 
KEYWORDS
ABSTRACT
Currently, diabetes is classified into contemporary social and civilisation diseases. The frequency of its occurrence worldwide is estimated to be approximately 200 million, and in 2025 the number of diabetic patients will be over 300 million. Chronic complications of diabetes occur after the disease has lasted for many years, and are the result of damage to large and small arteries, nerves and organs. Dermal changes occur in approximately 30% of diabetic patients, may be the first symptom of diabetes, and frequently precede its diagnosis by many years. In literature, necrobiosis lipoidica dabeticorum (NLD) is often defined as a marker of diabetes. NLD is a dermatosis the etiology of which has not yet been recognized, which occurs in 0.3–1% of patients with diabetes. The majority of patients (65%-75%) at the moment of diagnosing of changes of the NLD type are ill with diabetes, are diagnosed with glucose intolerance, or have a family history of diabetes. The case of a 41-year-old patient is described with long-lasting type 1 diabetes, with the diagnosis of necrobiosis lipoidica dabeticorum. Key words necrobiosis lipoidica dabeticorum, type 1 diabetes, diabetes complications
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