Treatment of Scleredema in Diabetes Mellitus with Symmetrical Woody Non-Pitting Skin Induration of the Neck

This clinical pattern — sometimes called scleredema diabeticorum — presents as symmetrical, woody, non-pitting induration of the neck and upper trunk, with fingers characteristically spared. It occurs predominantly in men with diabetes mellitus.

First-line approach for persistent disease

Management of persistent scleredema in this setting involves phototherapy. The specific modality and the structured protocol for its use are detailed in the full regimen.

Modality selection, scheduling, and monitoring criteria are available in the complete evidence-based protocol below.

Instant Access to Structured Evidence-Based Regimens

References

Type 3 scleroedema was named 'scleredema diabeticorum' by Krakowski and colleagues, and manifests mostly in men with diabetes mellitus.

The recommended first-line treatment is phototherapy. Escalation of therapy in resistant cases of scleroedema is possible through the use of phototherapy (PUVA, UVA1 and narrowband UVB) or drug treatment.

DOI: 10.1111/jdv.19937

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