Brown, scar-like, slightly elevated lesions on the legs are typical in long-standing diabetics.
Brown, scar-like, slightly elevated lesions on the legs are typical in long-standing diabetics.
This image displays areas of deep darkening of the skin, scars, and scaliness typical of diabetic dermopathy.
This image displays areas of deep darkening of the skin, scars, and scaliness typical of diabetic dermopathy.
This image displays slow-healing skin lesions and ulcers due to simple trauma typical of diabetic dermopathy.
This image displays slow-healing skin lesions and ulcers due to simple trauma typical of diabetic dermopathy.
This image displays a close-up of diabetic dermopathy showing scarring.
This image displays a close-up of diabetic dermopathy showing scarring.
As displayed in this image, the skin lesions of diabetic dermopathy can appear as scaly, colored, slightly elevated lesions.
As displayed in this image, the skin lesions of diabetic dermopathy can appear as scaly, colored, slightly elevated lesions.
In people with darker skin, the skin lesions of diabetic dermopathy can appear as very dark-colored, slightly elevated lesions, as displayed in this image.
In people with darker skin, the skin lesions of diabetic dermopathy can appear as very dark-colored, slightly elevated lesions, as displayed in this image.

Images of Diabetic Dermopathy (6)

Brown, scar-like, slightly elevated lesions on the legs are typical in long-standing diabetics.
This image displays areas of deep darkening of the skin, scars, and scaliness typical of diabetic dermopathy.
This image displays slow-healing skin lesions and ulcers due to simple trauma typical of diabetic dermopathy.
This image displays a close-up of diabetic dermopathy showing scarring.
As displayed in this image, the skin lesions of diabetic dermopathy can appear as scaly, colored, slightly elevated lesions.
In people with darker skin, the skin lesions of diabetic dermopathy can appear as very dark-colored, slightly elevated lesions, as displayed in this image.

Diabetic Dermopathy

Diabetic dermopathy, commonly known as shin spots, is a skin condition usually found on the lower legs of people with diabetes. It is thought that diabetes affects the small blood vessels in the shins, which causes this condition.

Who's At Risk?

Diabetic dermopathy is most common in people aged 50 years and older. It is more common in men than women.

Diabetic dermopathy affects up to half of people with diabetes, and it seems to be even more common in people with long-standing or poorly controlled diabetes.

Signs & Symptoms

Diabetic dermopathy appears as pink-to-red or tan-to-dark brown patches (flat areas of skin that are larger than a thumbnail) on the lower legs. They can be as small as 0.5 cm to quite large, covering most of the shin. The patches are slightly scaly and are usually round or oval. Long-standing patches may become slightly indented (atrophic).

Diabetic dermopathy does not typically itch, burn, or sting.

Self-Care Guidelines

The skin lesions of diabetic dermopathy often improve over time. Use a thick moisturizer (eg, CeraVe moisturizing cream), and try to avoid any injury to the legs to prevent worsening of lesions or the development of new lesions.

Treatments

Your medical professional will likely stress the importance of diabetes management, including controlling blood sugar, because appropriate diabetes management will help improve lesions as quickly as possible. Diabetic dermopathy should improve with time without any further treatment.

Visit Urgency

Diabetic dermopathy is harmless and does not require any treatment. However, if you think you have diabetic dermopathy, see your medical professional to ensure optimal diabetes management.

References

Bolognia J, Schaffer JV, Cerroni L. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018.

James WD, Elston D, Treat JR, Rosenbach MA. Andrew’s Diseases of the Skin. 13th ed. Philadelphia, PA: Elsevier; 2019.

Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology. 9th ed. New York, NY: McGraw-Hill Education; 2019.

Last modified on August 22nd, 2023 at 10:00 am

Not sure what to look for?

Try our new Rash and Skin Condition Finder

Age
Gender
Submit