Since the first description of scleredema adultorum by Buschke1 in 1902, there have been numerous descriptions of this entity in the literature. The disease's special predilection for obese diabetics has also been noted.2
We describe a case of scleredema adultorum in a diabetic whose course was progressive and punctuated by recurrent cellulitis in the region affected by scleredema.
Report of a Case
A 52-year-old diabetic woman was admitted to the University Hospital, Boston, on Sept 2, 1983, because of increasing pain and swelling in the skin on the back of her neck, as well as fever with shaking chills. In 1964 she had first noted the onset of "tightness" in her back following an episode of acute pharyngitis. During the next few years, the tightness, along with a woody induration, spread to involve the skin over the occiput, neck, interscapular areas, and lumbar region. Along with this slowly
Verghese A, Noble J, Diamond RD. Scleredema AdultorumA Case of the Recurrent Cellulitis Syndrome. Arch Dermatol. 1984;120(11):1518-1519. doi:10.1001/archderm.1984.01650470124028