“…Diagnosis requires the combination of the characteristic generalized papular sclerodermoid eruption, histological findings of increased fibroblasts and mucin, presence of a monoclonal gammopathy, and the absence of thyroid disease [16,17]. correspondence Scleromyxedema is associated with a myriad of systemic manifestations including dysphagia, dysarthria, dyspnea, weakness, peripheral neuropathy, carpal tunnel syndrome, arthritis, myalgias, myositis, myocardial infarction, restrictive lung disease, cerebral vascular accidents, memory loss, gait problems, fevers, encephalopathy, seizures, and coma [1,9,10,14,15].…”