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November 1995

Sudden, Extensive Induration of Arms, Abdomen, and Legs

Author Affiliations

Harbor-UCLA Medical Center, Torrance, Calif

Arch Dermatol. 1995;131(11):1333-1334. doi:10.1001/archderm.1995.01690230113021

REPORT OF A CASE  A 37-year-old white man presented with a 3-month history of ''tightness'' of his extremities and trunk. Five months before, edema suddenly developed over his entire body; a complete workup at that time was unrevealing. As the edema resolved, the patient noted progressively increasing induration of his arms, legs, and trunk. He complained of tenderness in his lower extremities and difficulty with flexion, but he had no evidence of arthritis. He denied dysphagia and symptoms of Raynaud's phenomenon. He had no history of preceding strenuous exercise, trauma, levotryptophan ingestion, illness, or fever. The patient had not taken