Syn .: PPP Syndrome, pretibial pigmented patches, Binkley spots, Diabetic shin spots.
Def .: Macular and maculopapular changes occurring in the course of diabetic microangiopathy.
Epid .: It occurs in 30% of women and 60% of men with diabetes. The changes may coexist with retinopathy, neuropathy, and diabetic neuropathy.
Etiol .: Microangiopathy, increased skin sensitivity to injuries and infections.
Lock: The straight surfaces of the lower legs, less often the backs of the feet, the lower legs on the flexor side, thighs, arms.
Clinical: Painless, non-itchy, light or dark brown maculopapular lesions. They are numerous, small, scattered or concentrated into larger, well-demarcated fires. They disappear after a dozen or so months, leaving mottled discoloration and atrophic scars.
Hist .: Edema of endothelial cells, erythrocyte extravasation and perivascular lymphocytic infiltration.
DL: It is recommended to perform tests evaluating the vascular system of the extremities (ultrasound of the vessels of the lower extremities) and the assessment of glycaemia for the diagnosis of diabetes mellitus.
DR: Chronic capillaritis chronica.
Healing: Low-potency glucocorticoids, e.g. 1% hydrocortisone.
Year: Changes are chronic. Proper diabetes control and the use of local treatment reduce the severity of skin lesions.
Source: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; XNUMXst edition, Czelej Publishing House