by Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS
I had an interesting case come into the clinic and I wanted to share it with all of you. This is the first time in my clinical experience with a patient who has full-thickness ulcerations due to necrobiosis lipoidica. Necrobiosis lipoidica is a disorder of collagen degeneration with a granulomatous response, thickening of blood vessel walls, and fat deposition. The main complication of the disease is ulceration, usually occurring after trauma to a particular area. Although infections are rare, full-thickness ulcerations appear to be rarer from my literature search. This particular patient had full-thickness ulcerations with an active infection on presentation.