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The Cutting Edge: Challenges in Medical and Surgical Therapies
Oct 2012

Successful Treatment of Poststreptococcal Scleredema Adultorum Buschke With Intravenous Immunoglobulins

Author Affiliations
 

SECTION EDITOR: EDWARD W. COWEN, MD, MHSc; ASSISTANT SECTION EDITORS: MURAD ALAM, MD; RUTH ANN VLEUGELS, MD

Arch Dermatol. 2012;148(10):1126-1128. doi:10.1001/archdermatol.2012.1558

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).

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