V. Dargento et al., CYCLOSPORINE-A IN THE TREATMENT OF NECROBIOSIS LIPOIDICA DIABETICORUM, Journal of dermatological treatment, 8(2), 1997, pp. 123-125
We report a case of necrobiosis lipoidica diabeticorum in a 36-year-ol
d man suffering from uncompensated diabetes mellitus. The dermatosis w
as characterized by dark-red infiltrated patches with protruding perip
heral borders located on the lower extremities, the dorsal aspects of
the feet and hands, and the trunk. Histologically the lesions showed a
palisaded granuloma in the middermis. The patient was treated with or
al cyclosporin A (CsA) which resulted in a marked improvement in the c
linical picture. The rationale for this therapeutic approach is briefl
y discussed.