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Medicine Endocrinology f9f1fa00

A 28-year-old woman with diabetes presents with lesions on her leg. They are not painful, and have a central depression and raised irregular margin. Which of the following is the most likely diagnosis?

A
eruptive xanthomas
B
necrobiosis lipoidica diabeticorum
C
gangrene
D
staphylococcal infection
High-Yield Explanation
(b) Source: (Kasper, p. 2169)This lesion is more frequent in females and may antedate other clinical signs and symptoms of diabetes. The plaques are round, firm, and reddish-brown to yellow in color. They most commonly involve the legs but can also involve the hands, arms, abdomen, and head.

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