Authors:

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.

Keywords: Scleroderm diabeticorum ,   Diabetes ,   Dermatological manifestations  

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