SECTION EDITOR: EDWARD W. COWEN, MD, MHSc; ASSISTANT SECTION EDITORS: MURAD ALAM, MD; RUTH ANN VLEUGELS, MD
We report a case of rapidly progressing poststreptococcal scleredema adultorum Buschke (SAB) that successfully responded to treatment with intravenous immunoglobulins (IVIGs).
A 38-year-old white woman presented with a 3-week history of a rapidly progressing symmetrical induration of the skin starting on the upper trunk area and spreading over the shoulders, neck, face, and proximal aspect of the arms. She reported that a severe throat and upper respiratory tract infection had occurred approximately 7 weeks before the onset of her skin symptoms and had required antibiotic treatment (no data on the type of antibiotic could be obtained).
Maximilian C. Aichelburg, Robert Loewe, Nikolaus Schicher, Paul-Gunther Sator, Franz M. Karlhofer, Georg Stingl, Ahmad Jalili. Successful Treatment of Poststreptococcal Scleredema Adultorum Buschke With Intravenous Immunoglobulins. Arch Dermatol. 2012;148(10):1126–1128. doi:10.1001/archdermatol.2012.1558