Necrobiosis Lipoidica: Not Always in Diabetic Patients!

Abstract

Necrobiosis lipoidica is a rare granulomatous disease of unknown etiology. It mainly affects young and middle-aged adults. Diabetes mellitus is a metabolic disease that causes cutaneous manifestations in 94.4% of diabetics and causes necrobiosis lipoidica in 3% of diabetic patients. We present the case of a 45-year-old female patient, with no personal pathological history, who comes to the clinic presenting lesions on her legs for about 10 months, for which she has received multiple treatments without improvement. A skin biopsy was indicated and a diagnosis of necrobiosis lipoidica was confirmed. The importance of presenting this case is due to the rarity of this disease in non-diabetic individuals in our environment.