Lesions are characterized by dull-red papules that progress to well-circumscribed, small, round, atrophic hyperpigmented skin lesions usually on the shins.
It is found in up to 30% of diabetics.
Similar lesions can occasionally be found in non-diabetics usually following trauma or injury.
The findings of more than 4 lesions strongly suggests diabetes.
The cause is unknown.
Appear to be associated with diabetic neuropathy and vascular complications.
The lesions are more common on the shins, and may represent an altered response to injury.
It is more common in patients with longstanding diabetes and poor glucose control.
It be controlled with blood glucose management and with the help of topical creams containing fusidic acid or a fusidic acid with a corticosteroid.