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Scleroderma diabeticorum: a case report

Authors:

I. U. Wimalasiri ,

Sir John Kotelawela Defense University, LK
About I. U.
Department of Physiology, Faculty of Medicine
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S. Siyambalapitiya

North Colombo Teaching Hospital, Ragama, LK
About S.
Diabetes and Endocrine unit
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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. & 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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