Lipoid necrobiosis - Causes, symptoms and treatment. MF.

Lipoid necrobiosis is also called cutaneous dyslipidosis, Oppenheim-Urbach disease, necrobiosis lipid diabetic. This pathology affects young people from 20 to 40 years, but cases are described in children. Women suffer more often than thrice as men.

Causes of lipoid necrobiosis

The most common cause of this disease is diabetes mellitus. According to the authors of 1 to 4% of diabetics suffer from necrobiosis lipid diabetic.

Lipoid necrobiosis occurs in people with impaired glucose tolerance. This is when there is an increase in some moments, and then a decrease without medication.

If we summarize the above, then this pathology is preceded by a violation of the metabolism of carbohydrates and fats in the body, which lead to vascular disorders, and they in turn to nourishment of the skin and the death of its cells.

Symptoms of lipoid necrobiosis

The beginning of the process is often preceded by trauma, and therefore frequent localization of the foci is the anterior surface of the shins, feet. At first, waxy, waxlike, orange or yellow colors with clear boundaries appear, which gradually increase in size. Old foci of brown color. In the future, their ulceration may occur. Healing occurs with the formation of scars. The absence of complaints, unfortunately, does not encourage people to go to the doctor on time, launching diabetes mellitus. Therefore, love yourself and be attentive to yourself. In most cases, necrosis is first diagnosed by dermatologists, who prescribes their treatment. Later such patients are observed in the endocrinologist.

Symptoms of lipoid necrobiosis

Diagnosis of lipoid necrobiosis

Differential diagnosis is performed with annular granuloma, xanthomotosis, sarcoidosis. A blood test, urine for sugar, must be submitted.

Treatment of lipoid necrobiosis

Treatment is performed with potent corticosteroid ointments under the occlusive bandage + all that the endocrinologist will appoint you. Most often, as you understand, diabetes therapy with glucose regulation.

Therefore, the diet and behavior of the patient should be appropriate both during the disease and after it. In this case, completely entrust your endocrinologist.

Skin trauma should be avoided in the future.

Just avoid the charlatans who will offer you dietary supplements, folk remedies. .. Remember: "More effective than hormonal ointments, at the moment, nothing has been invented to treat necrobiosis."

Especially the Oppenheim-Urbach disease is already a complication of sugar dibet itself, which suggests that you are awaiting vascular disorders in the body, so it is always an excuse to go straight to the doctor. The ulcerated foci are good "gates" for infection.

Prevention of lipid necrobiosis

Prevention is to treat diabetes, regulate blood glucose levels and avoid injuries

Consult a dermatologist for lipid necrobiosis

Question: Can lipoid necrobiosis be inherited?
Answer: Lipoid necrobiosis is not present, but about diabetes, then there are such observations.

Question: So this is not a contagious disease?
Answer: Of course not.

Question: So an endocrinologist visit is mandatory?
Answer: Even more than necessary.

Doctor dermatologist Mansurov A.S.