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Necrobiosis lipoidica is a rare skin disorder of collagen degeneration. It is characterized by a rash that occurs on the lower legs. It is more common in women, and there are usually several spots. They are slightly raised shiny red-brown patches. The centers are often yellowish and may develop open sores that are slow to heal. Infections can occur but are uncommon. Some patients have itching, pain, or abnormal sensations. It usually occurs more often in people with diabetes, in people with a family history of diabetes or a tendency to get diabetes, but can occur in nondiabetic people. About 11% to 65% of patients with necrobiosis lipoidica also have diabetes, but the exact cause is still not known. Treatment is difficult. The disease is typically chronic with variable progression and scarring.
Features include very common findings: Inflammatory abnormality of the skin and Annular cutaneous lesion; and common findings: Diabetes mellitus, Fragile skin, Atrophic scars, and Abnormality of the lower limb and others. 21 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 9 | Inflammatory abnormality of the skin, Fragile skin, Erythema |
Biomarker and diagnostic research for necrobiosis lipoidica has been reported in the published literature.
No approved treatments are currently available for necrobiosis lipoidica. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for necrobiosis lipoidica, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for necrobiosis lipoidica. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 2 very common features, 13 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for necrobiosis lipoidica.
41 publications have been identified in PubMed for necrobiosis lipoidica. Research spans Case Report / Case Series (51%), Review / Meta-Analysis (12%), and Basic Science / Preclinical (12%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 21 | 51% |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 5:33 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Hormones |
2 |
Diabetes mellitus, Abnormality of the thyroid gland |
Arms and legs | 2 | Abnormality of the lower limb, Hand abnormalities (abnormality of the hand) |
Blood and immune system | 1 | Abnormal neutrophil physiology |
Head and neck | 1 | Abnormality of the face |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
deuterated S-lisofylline | deuterated S-lisofylline | Processa Pharmaceuticals Inc | 2018 | — | Designated |
Gene therapy approaches for necrobiosis lipoidica have been reported in the published literature.
View trials for necrobiosis lipoidica
5 |
12% |
Laboratory research | 5 | 12% |
New treatment approaches | 4 | 10% |
Clinical study results | 3 | 7% |
Other research | 2 | 5% |
Testing and diagnosis research | 1 | 2% |
Erfurt-Berge C (2026). [PMID: 41420334](https://pubmed.ncbi.nlm.nih.gov/41420334/). *Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG*. [Basic Science / Preclinical]
Patel R (2026). [PMID: 41841052](https://pubmed.ncbi.nlm.nih.gov/41841052/). *Cureus*. [Case Report / Case Series]
Giriboni VM (2026). [PMID: 41558424](https://pubmed.ncbi.nlm.nih.gov/41558424/). *Anais brasileiros de dermatologia*. [Case Report / Case Series]
Matwiejuk M (2026). [PMID: 41107622](https://pubmed.ncbi.nlm.nih.gov/41107622/). *Dermatology and therapy*. [Review / Meta-Analysis]
McCluskey P (2026). [PMID: 41685800](https://pubmed.ncbi.nlm.nih.gov/41685800/). *Endocrinology, diabetes & metabolism case reports*. [Case Report / Case Series]
Sherif Mohamed M (2026). [PMID: 41909318](https://pubmed.ncbi.nlm.nih.gov/41909318/). *Cureus*. [Case Report / Case Series]
Zuluaga T (2026). [PMID: 41920559](https://pubmed.ncbi.nlm.nih.gov/41920559/). *JAMA dermatology*. [Case Report / Case Series]
Vasari L (2026). [PMID: 41912178](https://pubmed.ncbi.nlm.nih.gov/41912178/). *Dermatology practical & conceptual*. [Case Report / Case Series]
Abbas O (2026). [PMID: 42036030](https://pubmed.ncbi.nlm.nih.gov/42036030/). *J Am Acad Dermatol*. [Other]
Rubenstein AI (2026). [PMID: 42054009](https://pubmed.ncbi.nlm.nih.gov/42054009/). *JAMA Dermatol*. [Clinical Trial Publication]
AI-curated news mentioning necrobiosis lipoidica
Updated Aug 14, 2026
A study published in PubMed explores the use of deep inferior epigastric perforator flap reconstruction for patients with breast necrobiosis lipoidica. This research contributes to the understanding of surgical options for this rare skin condition.
A nonrandomized clinical trial investigates a deuterated pentoxifylline analog for treating necrobiosis lipoidica. The study contributes to understanding potential therapeutic options for this rare skin condition.