Published on 05/05/2015 by admin
Filed under Internal Medicine
Last modified 05/05/2015
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168 Lipoatrophy
Look at this patient.
Look here (examiner pointing at the patient’s thighs).
• Ask whether the patient is taking insulin for diabetes.
• Is there a past history of renal disease (mesangiocapillary glomerulonephritis)?
• History of HIV and whether patient is receiving antiretroviral agents
• Family history.
• Atrophy of the subcutaneous fat leading to disfiguring excavations and depressed areas (Figs 168.1 and 168.2).
Fig. 168.1 Lipoatrophy.
Fig. 168.2 Lipoatrophy.
This patient has atrophy of subcutaneous fat or lipoatrophy (lesion) caused by local injection of subcutaneous insulin (aetiology).
250 Cases in Clinical Medicine
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