title: Scleredema of Buschke: a rare post-streptococcal complication.
abstract: A 19-year male presented with acute onset, gradually progressive symmetric indurations involving the skin over the face, neck, shoulders and upper part of chest following an upper respiratory tract infection. Detailed history and examination did not reveal evidence of Raynauds' phenomenon, nail changes, digital ulcers, pigmentation or any systemic involvement. Autoantibodies for systemic sclerosis were absent. Histopathology of skin biopsy documented scleredema. Antistreptolysin O (ASO) titer was elevated. We diagnosed a case of Scleredema adultorum of Buschke following a streptococcal throat infection. We report this case to highlight the importance of clinically differentiating this relatively benign, self-limiting disorder from systemic sclerosis.
authors.affiliation: Department of Medicine, Medical College, Kolkat.
authors.forename: S
authors.initials: S
authors.lastname: Majumder
authors.forename: S K
authors.initials: SK
authors.lastname: Mandal
authors.forename: S Roy
authors.initials: SR
authors.lastname: Chowdhury
authors.forename: D
authors.initials: D
authors.lastname: Bandyopadhyay
authors.forename: R
authors.initials: R
authors.lastname: Bandyopadhyay
authors.forename: P P
authors.initials: PP
authors.lastname: Chakraborty
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D010614:Pharynx / Q000503:physiopathology*; D012307:Risk Factors; D012592:Scleredema Adultorum / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D013997:Time Factors
chemical_list: D010406:Penicillins