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Sclerodema of Buschke

Dr Subhan Iqbal et al.

Scleredema of Buschke also known as scleredema diabetorum is a dermal complication of chronic type 1 and type 2 diabetes mellitus, streptococcus infections and monoclonal gammopathies 1-3.

Scleredema diabetorum is characterized by non-pitting swelling and thickening of skin secondary to the deposition of collagen and amino glycans in the dermis 2-3,5

This disease is manifested by hardening and thickening of the dermis in the region of the shoulder, back and region of the neck, presenting with breathing difficulty and shoulder movement impairment. Risk factors of scleredema of Buschke include prolong duration of diabetes mellitus, obesity, and chronic insulin dependence 3-6.

Phototherapy, physiotherapy, corticosteroids, antibiotics, intravenous immunoglobulin and tight glycemic control are the main treatment options. Partial remission of the disease is documented in most of the cases 6.

Article information

rID: 87782
Section: Pathology
Tag: cases, case
Synonyms or Alternate Spellings:
  • scleredema diabetorum

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