Case In Images
A diabetic woman with soft tissue complex pathology
Rodica-Elena Perciun1, Ancuţa Telcian2
1MD, PhD, "Prof. NC Paulescu" National Institute of Diabetes, Nutrition and Metabolic Diseases, "Prof. I Pavel" Metabolic Diseases Center, Bucharest, Romania.
2Biophysicist, Biotehnos, Bucharest, Romania.


Address correspondence to:
Rodica-Elena Perciun Bucharest

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Rodica-Elena P, Telcian A. A diabetic woman with soft tissue complex pathology. Int J Case Rep Images 2016;7(1):65–71.

Introduction: Despite the fact that the diabetic patients can frequently develop some soft tissue abnormalities, these entities are rarely described in aggregation.
Case Report: This clinical case of a 50-year-old insulin-treated female, presented with plantar and palmar fibromatosis (Ledderhose disease and Dupuytren disease), cheiroarthropathy, knuckle pads (Garrod's pads), Huntley's papules, acanthosis nigricans and large dorsal cutaneous scleredema. Diagnosis has engaged clinical and imaging correlation. Planning the therapeutic approach has been adapted accordingly.
Conclusion: In this case, the soft tissue's abnormalities have challenged our clinical and imaging skills as well. Long-term follow-up is claimed due to the diabetic condition and the potential aggressiveness of lesions.

Keywords: Diabetes mellitus, Insulin-treated, Soft tissue pathology, Therapeutic approaching

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Author Contributions
Rodica-Elena Perciun – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ancuţa Telcian – Acquisition, analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
© 2016 Rodica-Elena Perciun et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.