Abstract
IN 1900, Buschke1 described the case of a forty-six-year-old carriage painter who suffered from persistent brawny induration of the skin of the face, chest and upper extremities. Following influenza, firm, nonpitting edema started in the neck and spread centrifugally. There was marked chemosis. The patient did not appear ill, had lost no weight, had no fever and had no complaints other than immobility of the skin. Buschke thought this picture to be distinct from those of previously reported syndromes and called the disease "scleredema adultorum."Many papers have since appeared in Germany delineating and expanding the original concepts,2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 and a . . .
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