168 Lipoatrophy Instruction Look at this patient. Look here (examiner pointing at the patient’s thighs). Salient features History • 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. Examination • 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. Diagnosis This patient has atrophy of subcutaneous fat or lipoatrophy (lesion) caused by local injection of subcutaneous insulin (aetiology). Advanced-level questions With which conditions is lipoatrophy associated? • Mesangiocapillary glomerulonephritis • Localized scleroderma • Morphea • Chronic relapsing panniculitis • HIV. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Permanent cardiac pacemaker/implantable cardioverter-defibrillator Cauda equina syndrome Systemic lupus erythematosus Superior vena caval obstruction Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Lipoatrophy Full access? Get Clinical Tree
168 Lipoatrophy Instruction Look at this patient. Look here (examiner pointing at the patient’s thighs). Salient features History • 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. Examination • 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. Diagnosis This patient has atrophy of subcutaneous fat or lipoatrophy (lesion) caused by local injection of subcutaneous insulin (aetiology). Advanced-level questions With which conditions is lipoatrophy associated? • Mesangiocapillary glomerulonephritis • Localized scleroderma • Morphea • Chronic relapsing panniculitis • HIV. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Permanent cardiac pacemaker/implantable cardioverter-defibrillator Cauda equina syndrome Systemic lupus erythematosus Superior vena caval obstruction Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Lipoatrophy Full access? Get Clinical Tree
