RESUMO
Granuloma annulare and necrobiosis lipoidica diabeticorum have rarely been reported in the same patient. We describe the unusual case of a woman with diabetes and a history of generalized granuloma annulare who noted leg ulcers that clinically represented ulcerated necrobiosis lipoidica diabeticorum and had histologic features of necrobiosis lipoidica diabeticorum and granuloma annulare. Her condition responded to treatment with antiplatelet agents.
Assuntos
Granuloma Anular/complicações , Úlcera da Perna/complicações , Necrobiose Lipoídica/complicações , Idoso , Diabetes Mellitus Tipo 1/complicações , Feminino , Seguimentos , Granuloma Anular/patologia , Humanos , Úlcera da Perna/patologia , Necrobiose Lipoídica/patologiaRESUMO
The influences of age, sex, disc level, and degree of degenration on the mechanical behavior of 42 fresh cadaver lumbar motion segments are reported. The motions and intradiscal pressure changes that result from the application of flexion, extension, lateral bending, and torsional moments; compression; and anterior, posterior, and lateral shears are described. The authors find that the mean behaviors of the different segment classes sometimes differ, but these differences are seldom pronounced. Scatter in the behavior of individual motion segments is pronounced, and very often overshadows any class differences.
