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Scleredema: An Unusual Cutaneous Manifestation of Coronavirus Infection.

Adv Skin Wound Care

January 2025

In the Department of Dermatology, Employees' State Insurance Corporation-Post Graduate Institute of Medical Sciences and Research, in Basaidarapur, New Delhi, India. Priyanka Hemrajani, MD, is Assistant Professor; Mona Sharma, MD, and Piyush Gupta, MD, are Senior Residents; Tapan Kumar Dhali, MD, is Professor; and Paschal D'souza, MD, is Professor and Head of Department. The authors have disclosed no financial relationships related to this article. Submitted April 8, 2023; accepted in revised form April 2, 2024.

The global pandemic caused by COVID-19 led to numerous novel cases of autoimmune and rheumatologic disorders that developed postinfection. Along these lines, these authors report an unusual case of scleredema following SARS-CoV-2 infection in an individual who lacked any known risk factors. Given the emergence of newer mutant strains of COVID-19 and steadily rising numbers of people receiving COVID-19 vaccinations, physicians should remain alert for as yet unrecognized manifestations of the disease.

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Scleredema Diabeticorum (SD) is a rare condition characterized by diffuse, symmetrical induration along with non-pitted swelling mostly on the upper back as a result of mucin being deposited in the dermis. It can also involve posterior neck, shoulders, and scalp. We report a case of 48 years old female patient from Pakistan, with uncontrolled diabetes mellites type 2 for the last 15 years, presenting with thickened skin at the back of the neck resulting in difficulty in neck and shoulder movements.

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Diabetes-Associated Scleredema.

N Engl J Med

August 2024

Lewisham and Greenwich NHS Trust, London, United Kingdom

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Article Synopsis
  • * A case is presented involving a 14-year-old girl from Iran who experienced rapid progression of skin thickening, ruled out for malignancies and connective tissue disorders before being diagnosed with scleredema.
  • * The report emphasizes the potential effectiveness of intravenous immunoglobulin and mycophenolate mofetil in treating this rare disease, despite the lack of definitive treatments available.
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