Author/Authors :
Mehta, Vandana Dr Hassan Al Abdulla Dermatology and Venereology Centre, Qatar , Durga, Laxmi Kasturba Medical College - Department of Skin and STD, India , Balachandran, C. Kasturba Medical College, India , Rao, Laxmi Kasturba Medical College - Department of Pathology, India
Abstract :
Sir, a 48-year-old male presented with spontaneous onset of pigmentation on his upper arms and back followed by development of progressive thickening of the skin which first started from the neck and gradually extended downwards to involve the upper back and arms of 3 years duration. There was no history of infection prior to development of induration. Our patient was a known diabetic since past 20 years on irregular treatment. Cutaneous examination revealed widespread woody hard induration of the skin over the neck and upper back extending upto the arms with sparing of face and hands (Figure 1). The skin of the affected areas could not be pinched. Systemic examination was unremarkable.
