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Puzzles in practice. Diabetic dermopathy.

Abstract

A 63-year-old white man is seen for a routine examination. His medical history is significant for type 2 diabetes mellitus of 16 years duration, diabetic peripheral sensory neuropathy, hypertension, and hyperlipidemia. He smoked 1 pack of cigarettes daily for 20 years but quit many years ago. Salient findings on physical examination include decreased light touch and vibratory sense in the feet, decreased pedal pulses, and hyperpigmented patches on the lower legs. The patches have normal sensation and a hint of atrophy. There is no overlying scale. What is your diagnosis?

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  • Publisher Full Text
  • Authors+Show Affiliations

    Penn State University College of Medicine, Allentown, PA 18103, USA. yehia.mishriki@lvh.com

    Source

    Postgraduate medicine 121:3 2009 May pg 171-2

    MeSH

    Diabetes Mellitus, Type 2
    Diagnosis, Differential
    Humans
    Leg
    Male
    Middle Aged
    Skin
    Skin Diseases, Metabolic

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    19491555

    Citation

    Mishriki, Yehia Y.. "Puzzles in Practice. Diabetic Dermopathy." Postgraduate Medicine, vol. 121, no. 3, 2009, pp. 171-2.
    Mishriki YY. Puzzles in practice. Diabetic dermopathy. Postgrad Med. 2009;121(3):171-2.
    Mishriki, Y. Y. (2009). Puzzles in practice. Diabetic dermopathy. Postgraduate Medicine, 121(3), pp. 171-2. doi:10.3810/pgm.2009.05.2017.
    Mishriki YY. Puzzles in Practice. Diabetic Dermopathy. Postgrad Med. 2009;121(3):171-2. PubMed PMID: 19491555.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Puzzles in practice. Diabetic dermopathy. A1 - Mishriki,Yehia Y, PY - 2009/6/4/entrez PY - 2009/6/6/pubmed PY - 2009/6/24/medline SP - 171 EP - 2 JF - Postgraduate medicine JO - Postgrad Med VL - 121 IS - 3 N2 - A 63-year-old white man is seen for a routine examination. His medical history is significant for type 2 diabetes mellitus of 16 years duration, diabetic peripheral sensory neuropathy, hypertension, and hyperlipidemia. He smoked 1 pack of cigarettes daily for 20 years but quit many years ago. Salient findings on physical examination include decreased light touch and vibratory sense in the feet, decreased pedal pulses, and hyperpigmented patches on the lower legs. The patches have normal sensation and a hint of atrophy. There is no overlying scale. What is your diagnosis? SN - 1941-9260 UR - https://www.unboundmedicine.com/medline/citation/19491555/Puzzles_in_practice__Diabetic_dermopathy_ L2 - http://www.tandfonline.com/doi/full/10.3810/pgm.2009.05.2017 DB - PRIME DP - Unbound Medicine ER -