Necrobiosis lipoidica diabeticorum (NLD) is a chronic non-infectious granulomatous disease characterized by sclerodermiform plaques, papules, or inflammatory nodules. NLD may be associated with diabetes mellitus (DM), sarcoidosis, rheumatoid arthritis, and bowel disease. While reports of patients having NLD, DM, vitiligo at the same time exist, there are, to best our knowledge, no cooccurrence ...