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^*Mukul Prasoon,

^*Post-graduate Resident, Department Of Medicine , LHMC, New Delhi

A 45-year-old lady presented to Diabetic clinic, Medicine Department, Lady Hardinge Medical College, for routine evaluation of her diabetic status. She was a diabetic for last 11 years, with poorly controlled glycaemic targets with oral antidiabetic agents. Her only concern was the painful red lesions, non-pruritic, involving both her legs for last 2 months, which were unresponsive to antibiotic therapy. Otherwise, she was asymptomatic without any significant past medical history. There was no history of past surgical procedures, any allergy to drug or environmental agents.

On examination, her haemodynamic parameters were normal. Her weight was 68kg and height was 154 cm, with a body mass index of 287 kg/m². General and Systemic examination examination was unremarkable. Cutaneous examination revealed reddish brown plaques with erythematous spreading borders. The rash was tender, non-blanching with yellowish to brown flakes over it, with minimal central atrophy [Figure 1]. There were no signs of ulceration. Sensations over the lesions were preserved. Her fasting blood sugar 250 mg/dl and postprandial 320 mg/dl with glycated haemoglobin (HbA1C) of 9.8%. Complete Blood counts with renal and hepatic functions were within normal limits.