Perforating lipoidic necrosis

successful treatment with cyclosporin A

V Filo Department of Dermatology, University Hospital, Comenius University, Bratislava, Slovakia

J Buchvald Department of Dermatology, University Hospital, Comenius University, Bratislava, Slovakia

E Rasochová Department of Dermatology, University Hospital, Comenius University, Bratislava, Slovakia

K Adamicová Department of Pathology, Jessenius School of Medicine, Comenius University, Martin, Slovakia

L Plank Department of Pathology, Jessenius School of Medicine, Comenius University, Martin, Slovakia

J Péccar Department of Dermatology, Jessenius School of Medicine, Comenius University, Martin, Slovakia

Abstract

The case of a 36-year-old male prediabetic patient with unusual perforating and ulcerating necrobiosis lipoidica with an atypical one-sided extracrural localization of lesions is reported. After establishing the diagnosis, treatment with cyclosporin A was eventually selected. A dose of 3 mg/kg per day controlled the disease promptly and could be tapered to a maintenance dose of 1 mg/kg per day after 4 weeks.

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Perforating lipoidic necrosis

successful treatment with cyclosporin A

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Perforating lipoidic necrosis

successful treatment with cyclosporin A

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