A case of Kyrle’s disease with diabetes and renal insufficiency

Abstract

A 58 year old male patient with type 2 diabetes and systemic hypertension presented with complaints of severe pruritic lesions all over the body; sparing face, palms, soles and mucosae. After control of diabetes, the skin lesions started to heal. By 8 weeks, the lesions had completely healed leaving behind hyperpigmented new lesions and the size of the existing lesions increased whenever his blood glucose levels were high. The patient also had renal insufficiency and significant proteinuria. He also had coronary artery disease (CAD) and New York Heart Association (NYHA) Class IV cardiac failure. Patient responded well to topical anti-inflammatory salicylic acid. The case is of interest as with better glycemic control, the skin lesions healed, leaving behind hyperpigmented scars.