Necrobiosis Lipoidica Diabeticorum (NLD) FAQ
What causes NLD?
NLD is strongly associated with diabetes mellitus, though the exact cause is unknown.
Who is at risk of developing NLD?
Individuals with diabetes, particularly type 1, and middle-aged adults are at higher risk.
What are the primary symptoms of NLD?
Painless, yellow-brown plaques or ulcers, usually on the lower legs or shins.
Is NLD contagious?
No, NLD is not contagious and cannot be spread to others.
How is NLD diagnosed?
Through skin biopsy and examination of lesion characteristics.
Can NLD be cured?
There is no definitive cure, but symptoms can be managed with treatment.
What is the primary treatment goal for NLD?
To manage symptoms, promote wound healing, and control underlying diabetes.
Are steroid injections effective for NLD?
Yes, intralesional steroids like triamcinolone can reduce inflammation and lesion size.
Can NLD lead to complications?
Yes, if left untreated, ulcers can become infected or lead to scarring.
How does diabetes management impact NLD?
Tight glycemic control can help prevent NLD progression and improve outcomes.
Are there any topical treatments for NLD?
Yes, high-potency topical corticosteroids may be prescribed.
Can NLD occur without diabetes?
Rarely, though most cases are linked to diabetes mellitus.
What is the prognosis for NLD patients?
Generally good with proper treatment and diabetes management.
Is surgery required for NLD?
Only in severe cases where ulcers are large or non-responsive to treatment.
How can NLD ulcers be prevented?
Through diligent diabetes management and protecting the skin from trauma.
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