Images in Endocrinology
Scleroderma diabeticorum: a case report
Authors:
I. U. Wimalasiri ,
Sir John Kotelawela Defense University, LK
About I. U.
Department of Physiology, Faculty of Medicine
S. Siyambalapitiya
North Colombo Teaching Hospital, Ragama, LK
About S.
Diabetes and Endocrine unit
Abstract
Scleroderma diabeticorum is a rare dermatological condition that is found in patients with poorly controlled long-standing diabetes. This is characterized by symmetrical, wooden non-pitting induration of the neck, and the upper parts of the shoulders and back. Aetiology of the scleroderma diabeticorum is not well understood. However, the hyperglycaemia-related fibroblast proliferation and extra-cellular ground substance formation is thought to be the main reason for the associated skin changes. Treatment of this condition is a challenge. Good glycaemia control has demonstrated partial resolution in some individuals. However, some studies have not shown any improvement with good glycaemic control. Phototherapy with UVA-1, immunosuppressive drugs and frequency modulated electromagnetic neural stimulation (FREMS) have been successful to a reasonable extent in some patients.
How to Cite:
Wimalasiri, I.U. and Siyambalapitiya, S., 2017. Scleroderma diabeticorum: a case report. Sri Lanka Journal of Diabetes Endocrinology and Metabolism, 7(1), pp.39–41. DOI: http://doi.org/10.4038/sjdem.v7i1.7327
Published on
26 Feb 2017.
Peer Reviewed
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