“…115 Scleroedema can be associated with several other systemic diseases like rheumatoid arthritis, [116][117][118] ankylosing spondylitis, 108 Sjögren's syndrome, 118 dermatomyositis, 119 hyperparathyroidism, 120,121 hypothyroidism, 122 Waldenström's macroglobulinaemia, anaphylactoid purpura, primary biliary cirrhosis, 123 IgA deficiency, 124 human immunodeficiency virus infection, 125 and pyoderma gangrenosum. 126 Cases of concomitant neoplasms have been reported, such as malignant insulinoma, 127 gall bladder carcinoma, 128 carcinoid tumour, 129 adrenocorticotropic hormone-producing pituitary tumour 130 and ovarian/breast carcinoma. 131,132 In type 1 and 2 scleroedema, women are affected almost twice as frequently as men.…”