PDF(Pubmed)
Abstract：
To describe the clinical and ultrasonographic (US) findings in patients with scleredema adultorum of Buschke, who presented with sclerotic skin on their posterior neck.
After obtaining IRB approval, eight patients with scleredema adultorum of Buschke were enrolled. They underwent US examination of their posterior neck. The diagnoses were confirmed pathologically. The clinical history and US images were evaluated retrospectively. Dermal thickness was compared between the patient group and the age- and sex-matched control group.
The patients included seven males and one female with a mean age of 51.5 years. All patients presented with thickening of the skin and/or a palpable mass on the posterior neck. Five (62.5%) of the eight patients showed erythematous discoloration. Six patients (75.0%) had a history of diabetes. The Hemoglobin A1c level was found to be increased in all patients. US images did not show any evidence of a soft tissue mass or infection. The mean dermal thickness in patients (7.01 ± 1.95 mm) was significantly greater than that in the control group (3.08 ± 0.87 mm) (p = 0.001). Multiple strong echogenic spots in the dermis were seen in all patients. Seven patients (87.5%) showed posterior shadowing in the lower dermis.
When a patient with a history of diabetes presents with a palpable mass or erythematous discoloration of the posterior neck and US shows the following imaging features: 1) no evidence of a soft tissue mass or infection, 2) thickening of the dermis, 3) multiple strong echogenic spots and/or posterior shadowing in the dermis, scleredema adultorum of Buschke should be considered in the differential diagnosis.
After obtaining IRB approval, eight patients with scleredema adultorum of Buschke were enrolled. They underwent US examination of their posterior neck. The diagnoses were confirmed pathologically. The clinical history and US images were evaluated retrospectively. Dermal thickness was compared between the patient group and the age- and sex-matched control group.
The patients included seven males and one female with a mean age of 51.5 years. All patients presented with thickening of the skin and/or a palpable mass on the posterior neck. Five (62.5%) of the eight patients showed erythematous discoloration. Six patients (75.0%) had a history of diabetes. The Hemoglobin A1c level was found to be increased in all patients. US images did not show any evidence of a soft tissue mass or infection. The mean dermal thickness in patients (7.01 ± 1.95 mm) was significantly greater than that in the control group (3.08 ± 0.87 mm) (p = 0.001). Multiple strong echogenic spots in the dermis were seen in all patients. Seven patients (87.5%) showed posterior shadowing in the lower dermis.
When a patient with a history of diabetes presents with a palpable mass or erythematous discoloration of the posterior neck and US shows the following imaging features: 1) no evidence of a soft tissue mass or infection, 2) thickening of the dermis, 3) multiple strong echogenic spots and/or posterior shadowing in the dermis, scleredema adultorum of Buschke should be considered in the differential diagnosis.
摘要：
为了描述Buschke硬肿症患者的临床和超声检查（US）结果，后颈有硬化皮肤.
获得IRB批准后，纳入了8例Buschke骨肿症患者。他们接受了美国后颈部检查。诊断均经病理证实。回顾性评估临床病史和US图像。比较患者组与年龄和性别匹配的对照组之间的真皮厚度。
患者包括7名男性和1名女性，平均年龄为51.5岁。所有患者均表现为皮肤增厚和/或颈部后部可触及的肿块。八名患者中有五名（62.5％）出现红斑变色。6例患者（75.0%）有糖尿病病史。发现所有患者的血红蛋白A1c水平均升高。美国图像没有显示任何软组织肿块或感染的证据。患者的平均真皮厚度（7.01±1.95mm）明显大于对照组（3.08±0.87mm）（p=0.001）。在所有患者中都看到真皮中的多个强回声斑点。7例患者（87.5％）在下真皮中出现后阴影。
当一位有糖尿病病史的患者出现颈部后部明显的肿块或红斑变色时，US表现出以下影像学特征：1）没有软组织肿块或感染的证据，2）真皮增厚，3）真皮中的多个强回声斑点和/或后部阴影，在鉴别诊断中应考虑Buschke的肿物。
获得IRB批准后，纳入了8例Buschke骨肿症患者。他们接受了美国后颈部检查。诊断均经病理证实。回顾性评估临床病史和US图像。比较患者组与年龄和性别匹配的对照组之间的真皮厚度。
患者包括7名男性和1名女性，平均年龄为51.5岁。所有患者均表现为皮肤增厚和/或颈部后部可触及的肿块。八名患者中有五名（62.5％）出现红斑变色。6例患者（75.0%）有糖尿病病史。发现所有患者的血红蛋白A1c水平均升高。美国图像没有显示任何软组织肿块或感染的证据。患者的平均真皮厚度（7.01±1.95mm）明显大于对照组（3.08±0.87mm）（p=0.001）。在所有患者中都看到真皮中的多个强回声斑点。7例患者（87.5％）在下真皮中出现后阴影。
当一位有糖尿病病史的患者出现颈部后部明显的肿块或红斑变色时，US表现出以下影像学特征：1）没有软组织肿块或感染的证据，2）真皮增厚，3）真皮中的多个强回声斑点和/或后部阴影，在鉴别诊断中应考虑Buschke的肿物。
