Buffalo Hump or Something Else? Dermatologist Explains Scleredema in Diabetes

What causes thickened, firm skin over the upper back or neck? Many people assume it is a “buffalo hump,” but in some cases it may actually be a condition called scleredema. In this video, dermatologist Dr. Dray explains scleredema, a rare skin condition that can occur in people with long-standing diabetes. She discusses how scleredema differs from conditions like Cushing’s syndrome, why the skin becomes thick and firm, and what doctors see under the microscope. Dr. Dray reviews the three types of scleredema, with special focus on scleredema diabeticorum, the form associated with long-term diabetes and metabolic changes. She also explains how this condition is different from scleroderma, despite the similar name. You’ll learn what scleredema looks and feels like, how dermatologists diagnose it, the underlying changes in collagen and connective tissue, and current treatment approaches including metabolic control, mobility support, and phototherapy. If you have diabetes or have noticed thickened skin over the back of the neck or upper back, understanding conditions like scleredema can help you recognize when it may be worth discussing with your doctor. Topics in this video 0:00 Introduction 1:21 What is scleredema 2:15 The three types of scleredema 4:40 What scleredema looks and feels like 6:17 Scleredema vs buffalo hump 7:35 What happens under the skin 9:12 Disease course and progression 10:28 Treatment options 12:07 Key takeaways Watch next Scleroderma explained https://youtu.be/U3fnD8eBcPo Skin changes caused by diabetes https://youtu.be/XOOLPv0BSjg About Dr. Dray Dr. Dray is a board-certified dermatologist who shares evidence-based information about skin health, dermatologic conditions, and skincare science. Her videos break down complex dermatology topics into clear explanations to help viewers better understand their skin. FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links. 💜Shop my Amazon store https://o.bttn.io/0BwiPWFIZLG 💜Follow me on liketoknowit https://www.liketoknow.it/drdrayzday 💜Social media Instagram @drdrayzday Pinterest https://www.pinterest.com/drdrayzday/ Facebook @DrDrayzDay Twitter: @drdrayzday Tiktok: @drdrayzday Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.