Necrobiosis lipodica diabeticorum as a sign of diabetes

Necrobiosis lipoidica [NL] is a rare chronic disease. The exact cause is unknown, however, different theories suggest that it is due to a vascular disturbance involving immune complex deposition or microangiopathic changes resulting in collagen degeneration. NL has increased prevalence in patients with diabetes and is more common in females aged 30-40 years old. All patients with NLD should undergo screening for diabetes with yearly HbA1c measurements. NLD could be the first presenting sign of diabetes. A thirty-four-year-old Bahraini female, known case of gestational diabetes on diet presented with right leg skin changes. The patient was diagnosed clinically and confirmed by punch biopsy as a case of NLD. The patient was treated with Daivobet and Daflon tablets twice a day, which resulted in noticeable improvement

Eruptive xanthoma in pregnancy induced hyperlipidemia

A thirty-year-old Syrian lady [gravida 10, para 7 and abortion 2] presented to dermatology clinic at 28 weeks gestation. She gave history of itching for 10 days associated with rash all over her body. The rash consisted of 3-6 mm yellowish erythematous papule with erythematous border. The eruption is more on the abdomen, the back and extensor surfaces of elbows and knees