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- Title
Scleredema diabeticorum in a patient: un uncommon etiology of restrictive lung pattern.
- Authors
Garcfa-Arpa, Monica; Bujalance-Cabrera, Carlos; Banegas-lllescas, M. Eugenia; Sanchez-Caminero, M. Prado; Gonzalez-Ruiz, Lucia; Villasanti-Rivas, Natalia
- Abstract
Scleredema adultorum of Buschke is a rare skin disease characterized by skin thickening and tightening typically at the neck and the upper pa rt of the body. This thickening results from increased mucin deposition in the reticular dermis. Three variants are recognized. Scleredema diabeticorum is one subtype associated with diabetes mellitus. We report a man with a history of poorly controlled diabetes presenting with extensive scleredema adultorum of the trunk in a "cuirasse" pattern associated with restrictive lung disease. Cutaneous u ltrasonog ra phy revealed a marked thickening of the dermis as well as various echogenic spots in the dermis. Cutaneous hardness secondary to scleredema may cause limited mobility. Therefore, respiratory manifestations may be associated and assessed, mainly in cases of extensive scleredema involving trunk and shoulders. Moreover, cutaneous ultrasonography may be useful to monitor the evolution of scleredema and confirm the diagnosis.
- Publication
Dermatology Online Journal, 2021, Vol 27, Issue 3, p1
- ISSN
1087-2108
- Publication type
Academic Journal