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December 1980

Scleredema Adultorum

Author Affiliations

Tucson, Ariz


Arch Dermatol. 1980;116(12):1347-1348. doi:10.1001/archderm.1980.01640360021010

To the Editor.—  We had an opportunity to see an adult diabetic patient who had scleredema adultorum with notable erythema in the sites of skin change.

Report of a Case.—  The patient was a 48-year-old man who had had diabetes mellitus for 20 years. For the past seven years, he had required 54 units of isophane insulin suspension every morning and 26 units every evening. Treatment with 250 mg of methyldopa three times a day, one postassium chloride tablet daily, 100 mg/day of thiamine hydrochloride, 2.5 mg of diazepam twice a day, 10% phenylephrine hydrochloride nasal drops, 10 mg of cyclopentolate hydrochloride twice a day, 0.5% chloramphenicol ophthalmic solution twice a day, and 100 mg of dioctyl sodium sulfosuccinate twice a day had been given for some time. History indicated that he also had redness and thickening of the skin on his back for at least five years. The condition

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