Case Presentation A 59-year-old woman with poorly controlled type II diabetes mellitus presented to the dermatology outpatient clinic with a one-year history of thick, raised, itchy skin lesions on both lower limbs. The lesions were associated with serous and occasional bloody discharge. She also reported dyspepsia, tingling in the legs, and knee joint tenderness.
Dermatological Examination On examination, she had: Multiple hyperkeratotic papules, nodules, and ulcerative plaques were present over bilateral lower limbs (Cover Image A & B) Some lesions had coalesced to form larger plaques Histopathology Findings Low-power view: necrosis with fibrosis High-power view: granulomatous inflammation with chronic inflammatory cells (Cover Image C) Reference : Cureus ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its…
