title: Juvenile scleredema of Buschke.
abstract: OBJECTIVE
  To recognize a line of treatment for scleredema of Buschke in an adolescent.
  
  
  BACKGROUND
  Scleredema of Buschke is an uncommon disorder characterized by induration of the skin, which includes a non pitting hardening of the skin around the neck, shoulders, and trunk sometimes the face. Three variants are recognized. The histopathologic features of scleredema are characterized by thickened collagen bundles within the reticular dermis that are separated by mucin containing fenestrations. No consistent treatment modality is currently followed.
  
  
  METHODS
  The present case report describes scleredema of Buschke in a 10-year-old female child reported with stiffness of facial skin and difficulty in opening the mouth. The patient was treated with antibiotics and vitamin supplements and there was drastic improvement with decrease in skin stiffness and increase in mouth opening. The stiffness of facial muscles decreased and mouth opening increased.
  
  
  CONCLUSIONS
  Multiple treatment modalities for scleredema have been used. In the present case, high-dose antibiotic therapy was used with good prognosis.
  
  
  CONCLUSIONS
  High-dose antibiotic therapy can be used for treatment of dermatologic disorders with reasonably good prognosis.
authors.affiliation: Department of Oral and Maxillofacial Pathology, Government Dental College and Research Institute, Bellary Karnataka, India.
authors.forename: J Dhanuja
authors.initials: JD
authors.lastname: Rani
authors.forename: Suneel G
authors.initials: SG
authors.lastname: Patil
authors.forename: S T Srinivas
authors.initials: ST
authors.lastname: Murthy
authors.forename: Ajit V
authors.initials: AV
authors.lastname: Koshy
authors.forename: Deepak
authors.initials: D
authors.lastname: Nagpal
authors.forename: Sheeba
authors.initials: S
authors.lastname: Gupta
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D004548:Elasticity; D005148:Facial Dermatoses / Q000175:diagnosis*; D005152:Facial Muscles / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009135:Muscular Diseases / Q000175:diagnosis; D012592:Scleredema Adultorum / Q000175:diagnosis*; D012879:Skin Physiological Phenomena
chemical_list: D000900:Anti-Bacterial Agents