Scleredema causing thickening over the neck and back - there is also acanthosis nigricans
Keywords: Buschke disease, Co-existing acanthosis nigricans, Connective tissue disorder, Erythema, Male, Neck, Nonpitting oedema, Oedematous nape of neck, Peau d'orange appearance, Posterior neck, Scleredema adultorum, Scleredema of buschke, Shoulder, Skin of colour, Woody induration
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Source: Dr Mark Duffill
