DOI: https://doi.org/10.36347/sjmcr.2025.v13i05.053

Pages: 980-982

Necrobiosis lipoidica (NL) is a rare granulomatous skin disease, affecting 0.3–1.2% of diabetic patients and only 0.06% of diabetic children, predominantly females. This article reports two pediatric cases where NL appeared years before type 1 diabetes was diagnosed. In both cases, young girls presented with chronic, atrophic plaques on their legs; histology confirmed NL. Diabetes was identified after systemic symptoms were assessed. Dermoscopy revealed characteristic serpiginous arborizing vessels on a yellowish background. The article emphasizes the importance of dermatological and dermoscopic evaluation in early diagnosis, especially since NL can precede diabetes by years.