case_images: PMC7677668_01
case_images: Clinical photograph of necrobiosis lipoidica on the trunk, showing darkly pigmented papules, plaques, a large annular lesion with hypopigmented atrophic center and prominent telangiectasia.
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case_images: PMC7677668_01_gr1.jpg
case_images: fig0005
case_images: On the right lateral chest wall posterior to axillary line, he had a red discolored patch with superficial capillaries and yellow discoloration at the center measuring approximately 2cm x 1cm, which remained constant, without changes in size or character (Fig. 1).
case_images: Histology of necrobiosis lipodica showing dense collagen material deposition and subcutaneous tissue sclerosis. The upper dermis and papillary dermis contained few inflammatory cells.
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case_images: PMC7677668_01_gr2.jpg
case_images: fig0010
case_images: The upper dermis and papillary dermis contained few inflammatory cells (Fig. 2).
case_images: Necrobiosis lipoidica developed on the lower limb.
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case_images: PMC7677668_01_gr3.jpg
case_images: fig0015
case_images: Initial treatment with clobetasol propionate, tacrolimus, and topical corticosteroid cream was unsuccessful, the patient is still being followed up and further NL lesions developed on the lower limb (Fig. 3).