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Violaceous erythema and skin thickening over the upper back due to scleredema. Pulling the shoulders back blanches the erythema in the middle of the back
Keywords: Bilateral violaceous erythematous rash, Buschke disease, Connective tissue disorder, Male, Nonpitting oedema, Scleredema adultorum, Scleredema of buschke, Upper back, Woody induration
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Source: Dr Ian Coulson