(45) Scleroedema akultorum with paraproteinaemia.

This article presents the case study of a person suffering from scleroedema adultorum with paraproteinaemia. For 4 years, he has noticed increasing stiffness of the skin, which started around the neck and upper trunk and has since spread to involve the face and upper arms. He is a heavily-built male Caucasian with a rather immobile distended facies. There is non-pitting oedema of the skin over the upper part of the trunk and around the neck, which appears thickened and markedly indurated. Scleroedema adultorum can be classified into two main groups. The variety originally described is a sell-limiting condition which can occur at any age and usually follows an acute infective episode. In the second group, the condition arises insidiously and may progress relentlessly over the course of many years.