ABSTRACT
This chapter presents the case study of a 23-year-old woman. A 23-year-old woman attends the dermatology clinic complaining of the appearance of asymptomatic lesions on her legs. She has a background of type 1 diabetes mellitus, diagnosed at age 6 years. Her glycaemic control had been erratic when she first moved to university 4 years ago, however she now feels more in control of her glucose levels with careful titration of her insulin. There are bilateral skin lesions affecting her anterior shins. The individual lesions are discrete and well demarcated with irregular borders. There is atrophy of the dermis and epidermis resulting in a shiny surface with yellow colour and apparent arborizing telangiectasia. A full examination including fundoscopy was otherwise unremarkable. She has no skin lesions elsewhere. This patient has a history of poor glycaemic control and evidence of diabetic nephropathy.
