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Scleroderma en coup de sabre with central nervous system involvement
Y Higashi1, T Kanekura, K Fukumaru
1Department of Dermatology, School of Medicine, Kagoshima University, Japan.
The Journal of Dermatology
|August 10, 2000
Summary
Scleroderma en coup de sabre, a rare skin condition, can affect the central nervous system. This case highlights a patient with forehead scleroderma experiencing neurological symptoms and showing brain abnormalities on MRI.
Area of Science:
- Neurology
- Dermatology
- Radiology
Background:
- Scleroderma en coup de sabre is a rare morphoea subtype characterized by linear lesions on the forehead and scalp.
- Central nervous system (CNS) involvement in scleroderma is uncommon but can lead to significant morbidity.
Observation:
- A patient presented with typical scleroderma en coup de sabre lesions on the left forehead and scalp.
- The patient reported experiencing headaches and dizziness, indicative of potential neurological compromise.
Findings:
- Magnetic resonance imaging (MRI) revealed a 1 cm high signal abnormality in the medial aspect of the left frontal lobe.
- The imaging findings suggest a possible correlation between the cutaneous scleroderma and intracranial pathology.
Implications:
- This case underscores the importance of considering CNS complications in patients with scleroderma en coup de sabre.
- Further research is warranted to elucidate the mechanisms and prevalence of neurological involvement in morphoea.
- Early detection and management of CNS symptoms may improve patient outcomes.