Abstract
Buschke Scleredema: A new case in diabetic patient
Highlights
Scleredema is a disorder of mucin deposition in the dermis, there is an abnormality in collagen deposition as well
A 55-year-old patient, with a history of type 2 diabetes complicated by cataract and diabetic retinopathy, presented with pruritus of the back with progressive induration of the skin evolving since 06 months
Scleredema is a connective tissue disease of unknown origin that was recognized as a distinct entity by Buschke in 1902 [3]
Summary
Scleredema is a disorder of mucin deposition in the dermis, there is an abnormality in collagen deposition as well. Poorly defined areas of woody skin induration that may have a orange peel appearance. The lesions are usually localized on the neck, upper back, shoulders and arms, rarely thighs and abdomen [1]. Scleredema classically affects the skin, extracutaneous involvement of heart, lungs, muscles and esophagus have rarely been reported [3]. A 55-year-old patient, with a history of type 2 diabetes complicated by cataract and diabetic retinopathy, presented with pruritus of the back with progressive induration of the skin evolving since 06 months. The clinical examination found thickened, indurated and difficult to pinch skin in the upper inter-scapular area, without atrophy, sweating or tenderness disorders (Fig. 1). The patient was placed on very potent dermocorticoids associated with colchicine with a good evolution
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