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Scleredema Diabeticorum - A Case Report.

Authors
  • Shazzad, M N
  • Azad, A K
  • Abdal, S J
  • Afrose, R
  • Rahman, M M
  • Haq, S A
Type
Published Article
Journal
Mymensingh medical journal : MMJ
Publication Date
Jul 01, 2015
Volume
24
Issue
3
Pages
606–609
Identifiers
PMID: 26329963
Source
Medline
License
Unknown

Abstract

Buschke Scleredema is a rare connective tissue disorder of unknown aetiology and characterized by thickening of the dermis. It resembles systemic sclerosis, eosinophilic fasciitis and cutaneous amyloidosis. Scleredema may be associated with a history of an antecedent febrile illness, diabetes mellitus, or blood dyscrasia. It may be classified into three clinical groups, each has a different history, course, and prognosis. Histology of skin is characterized by thickened dermis and increased spaces between large collagen bundles due to increased deposition of mucopolysaccharide in the dermis. Differential diagnosis can be made considering the typical clinical features and the histological peculiarity. No therapy is effective. In this communication we have presented a 54 year old man with scleredema successfully treated by PUVA and methotrexate. We reviewed associated diseases, clinical and histopathological characteristics, evolution and response to treatment.

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