Necrobiosis lipoidica is also called skin delipidation, disease Oppenheim – Urbach, necrobiosis lipoidica diabetic. This disease affects young people from 20 to 40 years, but are the cases and in children. Women suffer more often than three times than men.
Causes of necrobiosis lipoidica
The most common cause of this disease is diabetes mellitus. According to the authors of 1 to 4% of diabetics suffer with necrobiosis lipoidica diabetic.
Dating necrobiosis lipoidica and in individuals with impaired glucose tolerance. This occurs when the increase in individual moments, and then reduction without medication.
To summarize the above, this pathology is preceded by the metabolism of carbohydrates and fats in the body that lead to vascular disorders, and they in turn to the nourishment of the skin and death of cells.
Symptoms of necrobiosis lipoidica
The very beginning of the process is often preceded by trauma, and therefore frequent localization of lesions is the anterior surface of the tibia, the foot. At first appear waxy, no annoying patches, orange or yellow with clear boundaries, which gradually increase in size. The old ones are brown. In the future, may lead to ulceration. Healing occurs with scarring. The absence of complaints, unfortunately, not inspires people time to see a doctor, triggering diabetes. So love yourself and take care of yourself. In most cases, necrobiosis first dermatologists reveal, which assigns their treatment. Later such patients are seen by an endocrinologist.
Diagnosis of necrobiosis lipoidica
Differential diagnosis is done with granuloma annulare, xanthomatosis, sarcoidosis. Definitely rent a blood test, urine for sugar.
Treatment of necrobiosis lipoidica
The treatment is a potent corticosteroid ointment under occlusive dressing + all that You will be assigned an endocrinologist. Most often, as You know, therapy for diabetes mellitus regulation of glucose levels.
Therefore, the diet and the patient’s behavior should be relevant both during the illness and afterwards. In this case, completely trust my endocrinologist.
You should continue to avoid skin injuries.
Also avoid sharlotanov that will offer You supplements, folk remedies… Remember: “the effectiveness of hormonal ointments, at the moment, for the treatment of necrobiosis still nothing came up.
The more the disease Oppenheim – Urbach is already a complication of the diabetes debate, which suggests that you wait vascular disorders in the body. Therefore, it’s always a reason to immediately consult a doctor. Choose ulcerated lesions are a good “gateway” for infection.
Prevention necrobiosis lipoidica
Prevention is the treatment of diabetes, control of blood glucose levels and avoiding injuries.
Consult a dermatologist for the lipoid necrobiosis
Question: Can necrobiosis lipoidica be inherited?
Answer: necrobiosis lipoidica no, and as of diabetes, such observations are available.
Question: So it’s not a contagious disease?
Answer is: of Course not.
Question: So a visit to an endocrinologist?
Answer is: Even more than necessary.