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Scleredema Diabeticorum with Superimposed Cellulitis and Abscess Formation
Binav Shrestha1, Eliza Sharma2, Osama Mukhtar1
1Interfaith Medical Center, Brooklyn, NY, USA.
Case Reports in Endocrinology
|June 1, 2018
Summary
Scleredema diabeticorum, a rare skin condition in diabetes mellitus, was diagnosed in an obese male with poor glycemic control. This case highlights the importance of recognizing this complication in diabetic patients presenting with skin induration.
Area of Science:
- Dermatology
- Endocrinology
- Pathology
Background:
- Scleredema diabeticorum is a rare cutaneous complication associated with diabetes mellitus.
- It presents as diffuse, non-pitting induration of the skin, typically affecting the neck and upper back.
Observation:
- A case report of an obese male with poorly controlled diabetes mellitus is presented.
- The patient experienced upper back pain, leading to the discovery of a deep-seated abscess, sepsis, and subsequent antibiotic treatment.
- Extensive skin induration over the back and neck was noted during hospitalization.
Findings:
- Skin biopsy confirmed the diagnosis of scleredema diabeticorum.
- The clinical presentation included signs of infection and significant skin changes consistent with scleredema.
Implications:
- This case underscores the need for heightened clinical suspicion for scleredema diabeticorum in diabetic patients with unexplained skin induration.
- Early recognition and management of associated complications, such as sepsis, are crucial.
- Further research into the pathogenesis and optimal management strategies for scleredema diabeticorum is warranted.
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