How To Heal Necrobiosis Lipoidica

Strategies, Coping, and Understanding NL and NLD

Recent Abrasion

A couple of weeks ago I had the opportunity to take some photos at an old barn that was being torn down.  Fantastic opportunity, and I dressed appropriately, but still ended up getting a minor cut on my NLD.  We all know that even minor cuts can be serious business with NLD so I’m watching the area closely and am ready to call the wound care center at the first sign of trouble.

With that said, it seems to be healing well so far.  Here’s how I’ve treated the wound:

  • Gently cleaned it with a DRY sterile gauze sponge within 30 minutes of getting the cut
  •  Covered it immediately with a Mepilex border
  • Began keeping it completely dry at all times

I’ve kept it dry even when bathing, and have changed Mepilex borders every couple of days as it has closed up.  Today, after about 8 days it seems to have closed up for the most part.

I hope this will be helpful to someone.

This post is provided for informational purposes only; please consult your medical professional for anything relating to wound care.

Aspirin and Prednisone

My primary care doctor suggested trying aspirin, thinking that the anticoagulant effect might help in some way – I think because of the bruising, but knowing that the tissues is described as actually necrotizing I’m not sure this is a valid approach.  It couldn’t have hurt, so I went along with it, but have long since dismissed it as a cure.

I have been taking aspirin for a couple of years without a noticable change.

More recently, I saw a dermatologist about the issue and prescribed large doses of Prednisone (60mg daily) for a period of around 4 months.  This also yielded no results, and gave me a nice “spidey sense” through which I could hear watch movements, enjoy profound productivity due to utter inability to sleep, and inhalation of food in copious and destructive amounts.  Prednisone is truly a dreadful drug to endure.

I keep running into this article http://emedicine.medscape.com/article/1103467-treatment and am curious if anyone has tried that approach.


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