Clinical Features of Diabetic Dermopathy

Does the patient have bilateral skin lesions over the front and sides of both lower legs (pretibial regions)?

Did early lesion appear as multiple small, reddish brown scaly papules and small plaques?

Have lesions evolved into circumscribed round to oval shallow brown pigmented atrophic scars?

Are the lesions are symptomatic?

Does a skin biopsy show thickening in the walls of small blood vessels with PAS-positive material?

Is there another condition that can explain the findings better?