SCLEREDEMA PRECIPITATED BY AN INFECTION

There are three types of scleredema:

Clinical

Rapidly spreading tightness or induration of the skin beginning about the neck and spreading to the trunk, arms and face is characteristic. An antecedent upper respiratory infection from Streptococcus is often a precipitating factor. The prognosis is good. Restriction of respiration may occur secondary to the skin changes.

Treatment

Prednisone has been used. CSA 5 mg/kg daily for 5 weeks resulted in clearing in 6-8 weeks in two patients [JAAD 1996;35;990]. Slow resolution over months to years may occur.


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