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Linear scleroderma en coup de sabre and brain calcification: is there a pathogenic relationship?
Diana Elsa Flores-Alvarado1, Jorge A Esquivel-Valerio, Mario Garza-Elizondo
1Department of Medicine, Sections of Rheumatology, Louisiana State University Health Sciences Center, New Orleans 70112, USA.
The Journal of Rheumatology
|January 1, 2003
Summary
Extracutaneous calcifications are rare in scleroderma. A patient with linear scleroderma en coup de sabre experienced seizures and extensive cerebral calcifications, suggesting a link between localized scleroderma and neurological issues.
Area of Science:
- Neurology
- Dermatology
- Radiology
Background:
- Extracutaneous calcifications are uncommon in scleroderma and associated disorders.
- Linear scleroderma en coup de sabre is a rare subtype of localized scleroderma.
Observation:
- A female patient presented with linear scleroderma en coup de sabre and a history of seizures.
- Radiographic imaging revealed extensive cerebral calcifications in the right occipital hemisphere, ipsilateral to the facial lesion.
Findings:
- The case highlights a potential association between localized scleroderma and neurological manifestations.
- Cerebral calcifications were observed in a patient with linear scleroderma en coup de sabre and epilepsy.
Implications:
- Brain imaging is recommended for scleroderma patients with neurological symptoms, particularly seizure disorders.
- This case underscores the importance of considering neurological complications in localized scleroderma.