[A case report of diabetic scleredema in a patient with non-insulin-dependent diabetes mellitus].
A 70-year-old Japanese man with non-insulin-dependent diabetes mellitus showed scleredema diabeticorum. The patient complained of edematous feelings on his hands, both arms and face. The time of onset of these symptoms was not known. He had typical clinical and histopathological findings of diabetic scleredema. His diabetic control was poor and HbA1c level was 8.2% under insulin treatment. The patient had many complications such as diabetic retinopathy, diabetic nephropathy with benign nephrosclerosis, hyperlipidemia accompanied with a low level of high density lipoprotein cholesterol, hypertension and coronary heart disease. There were no abnormal laboratory findings except the diabetic controls and mild abnormal renal functions; however erythrocyte sedimentation rate was high.
D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D006801:Humans; D008297:Male; D012595:Scleroderma, Systemic / Q000209:etiology* / Q000473:pathology