MR Vol.10 No.1 indexに戻る

MODERN RHEUMATOLOGY Vol.10 No.1             
Scleredema: report of a case
M. Tanaka, S. Kobayashi, Y. Kumagai, T. Ebitsuka, T. Matsumoto, Y. Takasaki, H. Hashimoto
(1)Department of Rheumatology and Internal Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan
(2)Department of Internal Medicine, Imaichi Hospital, Tochigi, Japan
(3) Department of Pathology I, Juntendo University School of Medicine, Tokyo, Japan
 
Abstract
Abstract We describe a patient with scleredema. Thickened skin was observed in the posterior region of her neck, shoulders, and back. A skin biopsy revealed thickened dermis consisting of numerous thickened collagen bundles. Laboratory data revealed that she was suffering from diabetes mellitus (DM). The skin lesions ameliorated within a period of one month when her DM condition was controlled by oral hypoglycemics. Scleredema is a rare connective tissue disorder; its cutaneous manifestation should be distinguished from scleroderma.
 
Key words
Key words Scleredema ・ Scleroderma ・ Diabetes mellitus ・ Buschke
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