case_images: PMC3420415_01
case_images: Thickening and erythema of the upper part of the back.
case_images: CRIM.ENDOCRINOLOGY2011-560273.001.jpg
case_images: PMC3420415_01_CRIM.ENDOCRINOLOGY2011-560273.001.jpg
case_images: fig1
case_images: The skin of the upper back and posterior neck was erythematous, indurated, and painless (Figure 1) with moderate restriction of range of motion of the shoulders and neck. 
case_images: Histological aspect of skin biopsy. Blue Alcian dye. Thickened dermis and increased accumulation of aminoglycans between large collagen bundles.
case_images: CRIM.ENDOCRINOLOGY2011-560273.002.jpg
case_images: PMC3420415_01_CRIM.ENDOCRINOLOGY2011-560273.002.jpg
case_images: fig2
case_images: Histopathologic study demonstrated thick collagen bundles separated by spaces filled with mucin in the deep reticular dermis, consistent with scleredema adultorum of Buschke (Figure 2).