Necrobiosis Lipoidica

Question: what can you tell me about necrobiosis lipoidica diabeticorum? I have just been diagnosed with this. It is very painful and burns and itches.

Answer: Hi, I am a doctor.. Hope this will help you.. Necrobiosis lipoidica diabeticorum (NLD) consists of oval plaques, usually on the lower legs. It may start as small red spots or raised areas, which develop a shiny, porcelain-like appearance. The plaques often turn a light color due to extracellular fat (the "lipoidica"). They are often itchy or painful. Typically the spots turn a brownish color, which fades slowly but is permanent. NLD is not related to any other complication of diabetes. In particular, NLD does not presage eye, kidney or vascular problems. NLD is much more common in diabetics, who account for perhaps 2/3 of all cases. Many of the remainder develop diabetes, and NLD should be considered a warning sign of diabetes. Reports vary widely on exactly who is most at risk. About 1% of diabetics have some degree of NLD ... plus or minus 1%, depending on which report you read. Some reports say NLD occurs more often in young women, but some textbooks disagree. The real dangers seem to be ulceration, infection, and the stress from the appearance. Ulceration sometimes occurs spontaneously, and often as a result of trauma. Ulceration is often a result of scratching or trauma, and the ulceration from scratching sometimes heals very slowly. Thus avoiding scratching and trauma decreases the amount of ulceration, though some ulceration will occur anyway. No particularly good treatment seems to be known. Topical steroids (that is, creams) are the most common first choice. The ulcerations usually heal if cared for properly, and drastic measures are not called for in most cases. William Biggs reports that skin grafts may be necessary in cases of severe ulceration, but do not tend to give results that are cosmetically attractive. Other treatments reported to help sometimes are oral aspirin, pentoxifylline, dipyridamole, locally injected steroids, and systemic steroids. No one claims to be able to predict what will work on any given patient, and often not much of anything is effective. However, the ulcers usually heal if given supportive treatment. Surgery should be avoided. Ineke van der Pol reports finding relief in Chinese herbal treatments. STEROID WARNING: locally injected and systemic steroids raise blood glucose and cause severe problems regulating blood glucose. These should be used only as a last resort. Topical steroids (creams and inhalers) cause no such problems. Note that treatment is not a medical necessity except for ulcerations and infections. Otherwise, the purpose of treatment is to prevent ulcerations and infections, decrease pain and itching, and improve the appearance. NLD is the subject of occasional articles in scientific journals on diabetes and on dermatology. Betsy Butler has researched the medical journals, finding little beyond what I've reported above -- in her words, "no good answers". _Therapy for Diabetes Mellitus and Related Disorders_, published by the ADA, has a section on necrobiosis lipoidica diabeticorum and its treatment. If you want more info, feel free to write to me or visit www.medicguide.org This is a free site done by me and other doctors to answer health querries for free.

Question: Necrobiosis Lipoidica is there a cure? I have had my little friend on my leg for 4 years and as much as he has been a part of me it is time for andy to go, is there a cure for necrobiosis lipoidica

Answer: bunny girl ! Necrobiosis lipoidica is a necrotizing skin condition that usually occurs in patients with diabetes. In such cases it may be called Necrobiosis Lipoidica Diabeticorum (NLD). NLD occurs in approximately 3% of the diabetic population, with the majority of sufferers being women (approximately 90%). NL/NLD most frequently appears on the patient's shins, often on both legs. The lesions are often tender and may ulcerate when injured. The first symptom of NL/NLD is often a "bruised" appearance that is not necessarily associated with a known injury. The extent to which NL/NLD is inherited is not known. The effective treatments of necrobiosis lipoidica diabeticorum are :- The topical cortisone injections into the lesion are found very effective in the treatment of necrobiosis lipoidica diabeticorum. Creams, dressings or injections of steroids into the patches may be tried and can help in some cases. The skin grafting is also useful in some cases. The cortisone creams, can be apply over the affected area of the skin. It can be treated by applying ultraviolet light therapy, when it is flaring. Some medications such as aspirin, fibrinolytic agents, nicotinamide, pentoxifylline, heparin, antiplatelet agents, ticlopidine, tretinoin, and cyclosporine are also very helpful in the treatment of necrobiosis lipoidica diabeticorum. To know much more visit http://www.reddiabetes.com

Question: NLD (Necrobiosis Lipoidica Diabeticorum)......... do you have it........?

Answer: I am diabetic and I have NLD on my lower legs. There are several treatments available, but you have to see a dermotologist. I have medicine injected under the skin which has really helped me. No one can even notice the scares anymore.

Question: Necrobiosis Lipoidica Diabeticorum, do you have it? Im 15 years old, and i have alot of friends, my first year of high school (last year) was hard, my friends would ask me to go to the beach and ide refuse, they didnt understand, i couldnt wear a bathing suit, because i have NLD on my lower legs, 8 of them. it ruined my social life and i cry about it all the time, if you have it, let me know how you cope, only a FEW friends know about it but i only have a few friends now because i pushed away everyone else that i thought would make fun of me for having NLD. Again, if you have it, let me know how you cope with it, or how you got rid of it if you did. I never knew a skin disease would ruin my life like this :/

Answer: im sure that if you told your other friends they wouldn't care ... they probably also have something wrong with them aswell and it will make them feel better if you told them the truth about why you dont want to go to the beach and if they do have a problem then they shouldnt be your friends