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Scleredema over the upper back and neck. There was both underlying diabetes and a paraprotein
Keywords: Back, Buschke disease, Connective tissue disorder, Male, Nape of neck, Neck, Nonpitting oedema, Peau d'orange appearance, Posterior neck, Scleredema adultorum, Scleredema diabeticorum, Scleredema of buschke, Underlying diabetes mellitus, Upper back, Violaceous discolouration, Woody induration
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Source: Dr Ian Coulson