A 47-year-old man with Type 2 Diabetes develops skin masses at his insulin injection sites and experiences unpredictable hypoglycemia. What’s the diagnosis?
A 47-year-old man with type 2 diabetes presented to the endocrinology clinic owing to several years of progressive growth of skin lesions on his lower abdominal wall where he had repeatedly injected insulin. He also reported unpredictable episodes of hypoglycemia. A physical examination was notable for two pendulous skin masses on the lower abdominal wall. The glycated hemoglobin level was 9.2% (reference value, <7.1). What is the most likely diagnosis?
What is the most likely diagnosis?
Dermatology, Diabetes Mellitus, Hypoglycemia, Insulin-derived amyloidosis, Lipohypertrophy
