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).