Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case report

Abstract Background Scleredema adultorum of Buschke is a rare disease characterized by firm and non-pitting edema of the skin. The condition is rare with unknown etiology. Diagnosis is made on the basis of clinical findings and skin biopsy. Case presentation Here, we describe a 14-year-old Iranian g...

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Main Authors: Mehran Pournazari, Dena Mohamadzadeh, Shirin Assar, Mazaher Ramezani
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-024-04427-0
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author Mehran Pournazari
Dena Mohamadzadeh
Shirin Assar
Mazaher Ramezani
author_facet Mehran Pournazari
Dena Mohamadzadeh
Shirin Assar
Mazaher Ramezani
author_sort Mehran Pournazari
collection DOAJ
description Abstract Background Scleredema adultorum of Buschke is a rare disease characterized by firm and non-pitting edema of the skin. The condition is rare with unknown etiology. Diagnosis is made on the basis of clinical findings and skin biopsy. Case presentation Here, we describe a 14-year-old Iranian girl presenting with non-pitting edema and woody thickening of the skin that progressed within a month. She was evaluated for possible underlying malignancy or connective tissue disorders, which were excluded by multiple laboratory workups. She underwent a skin biopsy which confirmed the diagnosis of scleredema, and she was successfully treated with intravenous immunoglobulin and mycophenolate mofetil. Conclusion While scleredema adultorum of Buschke is a rare disease with no definite treatment, our effort through this report was to highlight the possible benefits of treatment by intravenous immunoglobulin and mycophenolate mofetil.
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spelling doaj.art-852e43609cb741a1a00837ecb9a994f52024-03-05T19:14:51ZengBMCJournal of Medical Case Reports1752-19472024-02-011811410.1186/s13256-024-04427-0Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case reportMehran Pournazari0Dena Mohamadzadeh1Shirin Assar2Mazaher Ramezani3Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical SciencesClinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical SciencesClinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical SciencesMolecular Pathology Research Center, Imam Reza Hospital, Kermanshah University of Medical SciencesAbstract Background Scleredema adultorum of Buschke is a rare disease characterized by firm and non-pitting edema of the skin. The condition is rare with unknown etiology. Diagnosis is made on the basis of clinical findings and skin biopsy. Case presentation Here, we describe a 14-year-old Iranian girl presenting with non-pitting edema and woody thickening of the skin that progressed within a month. She was evaluated for possible underlying malignancy or connective tissue disorders, which were excluded by multiple laboratory workups. She underwent a skin biopsy which confirmed the diagnosis of scleredema, and she was successfully treated with intravenous immunoglobulin and mycophenolate mofetil. Conclusion While scleredema adultorum of Buschke is a rare disease with no definite treatment, our effort through this report was to highlight the possible benefits of treatment by intravenous immunoglobulin and mycophenolate mofetil.https://doi.org/10.1186/s13256-024-04427-0Scleredema adultorum of BuschkeSkin thickeningIntravenous immunoglobulinMycophenolate mofetil
spellingShingle Mehran Pournazari
Dena Mohamadzadeh
Shirin Assar
Mazaher Ramezani
Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case report
Journal of Medical Case Reports
Scleredema adultorum of Buschke
Skin thickening
Intravenous immunoglobulin
Mycophenolate mofetil
title Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case report
title_full Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case report
title_fullStr Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case report
title_full_unstemmed Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case report
title_short Treatment of scleredema adultorum of Buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14-year-old girl: a case report
title_sort treatment of scleredema adultorum of buschke with intravenous immunoglobulin and mycophenolate mofetil in a 14 year old girl a case report
topic Scleredema adultorum of Buschke
Skin thickening
Intravenous immunoglobulin
Mycophenolate mofetil
url https://doi.org/10.1186/s13256-024-04427-0
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AT shirinassar treatmentofscleredemaadultorumofbuschkewithintravenousimmunoglobulinandmycophenolatemofetilina14yearoldgirlacasereport
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