“…120 An unusual granulomatous variant of scleromyxedema has been reported. 80,81 Bizarre neurological symptoms, 82 underlying carcinoma, 56,83,84 chronic hepatitis C, 85 pachydermoperiostosis, 56 dermatomyositis, 86 scleroderma, 81,87 atherosclerosis, 88 esophageal aperistalsis, 89 and multiple keratoacanthomas 78 have all been reported in association with scleromyxedema. 121 The changes in nephrogenic systemic fibrosis are similar to those seen in scleromyxedema (see below).…”