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August 1938


Author Affiliations

Resident in Dermatology and Syphilology, University of Michigan Medical School ANN ARBOR, MICH.

Studies and contributions from the Department of Dermatology and Syphilology, University of Michigan Medical School, Service of Dr. Udo J. Wile.

Arch Derm Syphilol. 1938;38(2):210-216. doi:10.1001/archderm.1938.01480140050006

In 1902 Buschke1 reported an unusual case of hardening of the skin which he had presented before the Berlin Dermatological Society two and a half years before. No diagnosis had been made at the original presentation—indeed, none of the members present could recall having observed a similar case—but Buschke entitled his report "Ueber Scleroedem." The patient was a 46 year old carriage varnisher who, after an attack of influenza, had noticed stiffening of his skin, beginning on the neck and spreading to involve all of his body proximal to the thighs and the fingers. Buschke considered and discarded alternative diagnoses of scleroderma, myxedema, trichinosis, dermatomyositis, blood and lymph stasis and scleredema neonatorum. He chose the name Scler-oedem, or scleredema (not "sclero-edema," as it has sometimes been mistranslated), because of the resemblance of this apparently new entity to the last of the previously named conditions and added the qualifying

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