Scleredema of Buschke associated with difficult-to-control type 2 diabetes mellitus

Escleredema de Buschke associado a diabetes mellitus tipo 2 de difícil controle

Luciana Rodino Lemes Gabriele Medina Vilela Sandra Maria Barbosa Durães Enoi Aparecida Guedes Vilar About the authors

SUMMARY

Scleredema of Buschke (SB) is a rare disorder of connective tissue characterized by diffuse non-pitting induration of the skin, mainly on the cervical, deltoid and dorsal regions. It is a cutaneous mucinosis of unknown etiology and is associated with bacterial or viral infections, hematological disorders and diabetes mellitus. Histopathological examination shows thickened dermis with wide collagen bundles separated by gaps that correspond to mucopolysaccharide deposits, visualized using special staining. Several treatments are reported in the literature without well-established results. We report a case of SB in a patient with type 2 diabetes mellitus.

Keywords
scleredema adultorum; diabetes mellitus; dorsum

Associação Médica Brasileira R. São Carlos do Pinhal, 324, 01333-903 São Paulo SP - Brazil, Tel: +55 11 3178-6800, Fax: +55 11 3178-6816 - São Paulo - SP - Brazil
E-mail: ramb@amb.org.br