case_images: PMC3975195_01
case_images: Papular hyperkeratotic lesions on the patient's back prior to treatment.
case_images: cde-0006-0069-g01.jpg
case_images: PMC3975195_01_cde-0006-0069-g01.jpg
case_images: F1
case_images: We describe a 65-year-old patient with long-standing type 2 diabetes mellitus who presented with a 2-year history of papular lesions about 3-4 mm in diameter, hyperkeratotic, very itchy and located primarily on the back (fig. 1).
case_images: Ulcer with cell detritus on the top and collagen bundles and elastic fibers on the bottom.
case_images: cde-0006-0069-g02.jpg
case_images: PMC3975195_01_cde-0006-0069-g02.jpg
case_images: F2
case_images: The lower edge of the ulcer was interrupted by collagen fibers running perpendicular to it (fig. 2).
case_images: Complete remission of the skin lesions after 2 months of treatment with topical tacalcitol.
case_images: cde-0006-0069-g03.jpg
case_images: PMC3975195_01_cde-0006-0069-g03.jpg
case_images: F3
case_images: The lesions were treated for 2 months with topical tacalcitol (once daily) and disappeared completely (fig. 3).