SCLEREDEMA DIABETICORUM
Scleredema diabeticoirum (SD) is characterized by firm, non-pitting edema of the upper back, often in the shape of an inverted triangle, in a middle-aged, obese, long-standing diabetic. The posterior neck may also be affected.
- A study of 100 hospital-based patients with diabetes mellitus found an incidence of 14% and its occurrence correlated with the duration of diabetes.
- A case of diffuse sclerederma has been reported in association with a malignant insulinoma, suggesting the possibility that it is the elevated insulin which may cause the skin changes.
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