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May 1938


Author Affiliations

Associate in Neurology and Psychiatry, Post-Graduate Faculty of Columbia University NEW YORK

From the Neurologic Clinic of the New York Post-Graduate Medical School and Hospital.

Arch Derm Syphilol. 1938;37(5):809-815. doi:10.1001/archderm.1938.01480110075006

Scleredema adultorum (Buschke)1 is a rare disease. Only two cases have been reported in the American literature, by Epstein,2 who termed the condition a "distinct entity that has a definite clinical course and characteristic histophathology." Following is a report of a complete study of a case,3 including cutaneous capillaroscopy and examination of biopsy material with various stains. There is a controversy in the literature of the world as to whether this disease is a clinical entity. While members of the German school affirm its identity, the French authors doubt or deny it. The latter contend that scleredema is a unique variety of trophedema. I believe that my findings add light to this question, as well as to knowledge of the nature and the pathogenesis of scleredema adultorum.

REPORT OF A CASE  R. G., a housewife aged 37, came to the clinic complaining of stiffness of her face,

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