The Intersection of Dermatological Dilemmas and Endocrinological Complexities : Understanding Necrobiosis Lipoidica-A Comprehensive Review

BACKGROUND: Necrobiosis lipoidica (NL) is a rare granulomatous skin disorder with a predilection for females, often associated with diabetes mellitus (DM). This paper aims to comprehensively review the literature on NL, focusing on its association with DM, thyroid disorders, and the metabolic syndrome.

METHODS: A systematic search was conducted in English-language literature from inception to October 2023, utilizing PubMed. We identified 530 studies and selected 19 based on clinical significance, statistical support, and relevance to the paper's goals.

RESULTS: The coexistence of NL and DM is prevalent, with rates ranging from 11% to 65.71%. NL may precede DM diagnosis and a correlation between NL and increased daily insulin requirements has been observed in such patients. NL is suggested as a potential prognostic marker for DM complications; however, recent studies question this association, highlighting the need for further research. Studies in the context of NL and Thyroid Disease indicate a correlation, especially with autoimmune thyroiditis. Regarding NL and Metabolic Syndrome, the prevalence of metabolic syndrome among NL patients is notably higher than in the general population. Additionally, DM patients with ulcerated NL commonly exhibit hypertension or obesity, raising questions about the potential influence of hypertension and obesity on NL ulcerations.

CONCLUSION: Additional research is required to untangle the complex connections between NL and various comorbidities.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Biomedicines - 12(2024), 2 vom: 01. Feb.

Sprache:

Englisch

Beteiligte Personen:

Ionescu, Corina [VerfasserIn]
Petca, Aida [VerfasserIn]
Dumitrașcu, Mihai Cristian [VerfasserIn]
Petca, Răzvan-Cosmin [VerfasserIn]
Ionescu Miron, Andreea Iuliana [VerfasserIn]
Șandru, Florica [VerfasserIn]

Links:

Volltext

Themen:

Diabetes mellitus
Journal Article
Metabolic syndrome
Necrobiosis lipoidica
Review
Thyroid disease

Anmerkungen:

Date Revised 27.02.2024

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/biomedicines12020337

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36887916X