A 76-year-old patient with pneumonia was admitted to the hospital. The patient has hypertension, chronic kidney disease, and a 15-year old history of type 2 diabetes. He has been injecting insulin detemir near umbilical area twice daily. There were two painless, rubbery, hyperpigmented masses that were developed 5 to 6 years before the presentation and gradually became more pigmented.
Identify this condition in this patient. *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
