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May 1982

Scleredema and Persistent Erythema

Author Affiliations

Tampa, Fla

Arch Dermatol. 1982;118(5):290-291. doi:10.1001/archderm.1982.01650170004006

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To the Editor.—  In the December 1980 issue of the Archives (116:1347-1348), Beeaff and Lazar reported an interesting case of scleredema adultorum with the unusual cutaneous manifestation of persistent erythema at sites of skin thickening. Within that short letter, they recognized the past descriptions of transient erythemas preceding the development of the classic lesions of scleredema, but they believed that the persistent erythema as reported in their case was previously unreported. We wish to disagree with the authors, in that previous references to the same phenomenon are available in the American as well as in the European literature. In addition, we wish to submit a similar case for comparison.

Report of a Case.—  The patient was a 47-year-old man who was initially seen with a four-year history of "taut" skin on the nape of the neck and shoulders and no previous history of acute illness before the development of the

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