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| CASE REPORT |
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| Year : 2021 | Volume
: 67
| Issue : 3 | Page : 174-176 |
Scleredema adultorum of Buschke associated with hypothyroidism and liver cirrhosis
S Muralidharan1, K Arun1, V Ruckmani1, B Devi2
1 Department of General Medicine, SRM MCH&RC, Kattankulathur, Tamil Nadu, India
2 Department of Pathology, SRM MCH&RC, Kattankulathur, Tamil Nadu, India
Correspondence Address:
S Muralidharan
Department of General Medicine, SRM MCH&RC, Kattankulathur, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpgm.JPGM_1214_20
Scleredema adultorum of Buschke is a rare disorder of the connective tissue, involving the skin. Here, we present a 61-year-old male, who is a known case of compensated liver cirrhosis with a past history of being treated for autoimmune thyrotoxicosis, who presented with complaints of alopecia, skin tightening, dry skin, pruritus, and woody indurated plaques on the skin of the upper back, shoulder, and arms. Skin biopsy of the arm revealed the characteristic features of scleredema. He was extensively evaluated for known literature-cited causes of scleredema, and the work up revealed a negative result. He was also found to be hypothyroid on presentation. Hence, we present a case of scleredema occurring in a patient with hypothyroidism and chronic liver disease, which to our knowledge is being described for the first time in literature.
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