Scleredema diabeticorum

Scleredema diabeticorum

Scleredema diabeticorum (SD) is a rare disorder characterised by an accumulation of hard fibrous tissue in the skin, usually on the head, neck, and back. It affects people with diabetes, although it can occur in patients without diabetes. It is one of a group of conditions known as scleredema and can also be known as scleredema diabetica, aswell as neck scleredema and Buschke's scleredema.


There is no special preparation required to diagnose scleredema diabeticorum, though it is important to monitor diabetes levels to ensure they are under control.


The diagnosis of scleredema diabeticorum is done with a physical examination. Your doctor will look for the typical thickening of the skin on the head, neck, and back that is characteristic of the disorder. If your doctor suspects scleredema diabeticorum, they may also perform a skin biopsy to confirm the diagnosis.


There are two primary types of scleredema diabeticorum: acute and chronic. Acute scleredema diabeticorum usually resolves on its own within a few weeks, while chronic scleredema diabeticorum is more stubborn and may take months or years to resolve.


The greatest risk associated with scleredema diabeticorum is the possibility of developing more serious complications. In particular, scleredema diabeticorum can cause Diabetic Retinopathy, a serious eye condition that can lead to blindness.


The exact cause of scleredema diabeticorum is unknown, but it is believed to be related to a metabolic abnormality in the skin affecting collagen and elastic fibre synthesis. It is thought that this abnormality is associated with diabetes, which is why it primarily affects people with diabetes.


Scleredema diabeticorum usually occurs in those with diabetes over the age of 40, although it is not uncommon for it to occur in younger people with the condition. It is thought to be more common in women than in men, though it can affect anyone.


Treatment for scleredema diabeticorum typically involves managing diabetes levels and treating any underlying infection. It is also important to keep the skin moist and avoid any potential irritants that could exacerbate the condition. Corticosteroids and antifungal medications may also be prescribed to help control symptoms.