SKIN MUCINOSIS. ARNDT-GOTTRON’S SCLEROMYXEDEMA
The authors review in brief published data on metabolic dermatoses included in the group of idiopathic (primary) skin mucinosis and clearly differentiated as individual nosological entities. A patient with typical clinical signs of Arndt-Gottron ’s scleromyxedema is described. The diagnosis is verified by pathohistological studies of involved skin. Specific features of this case are the emergence and progress of scleromyxedema in the presence of chronic alcoholism and multiple concomitant visceral diseases — diffuse epidemic goiter without thyroid dysfunction (euthyrosis) and the metabolic syndrome (abdominal obesity, arterial hypertension, type 2 diabetes mellitus, and hypertriglyceridemia). Therapeutic strategy in patients with scleromyxedema and concomitant multiple visceral diseases is discussed.