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Updated: Sep 23, 2026

Skin Biopsy for Diagnosing Discoid Lupus Erythematosus
Published on: June 10, 2025
Two cases for diagnosis: asymmetric childhood scleredema or stiff skin syndrome?
Dean S Morrell1, Eric Challgren, Anita Nijhawan
1Department of Dermatology, Medical College of Wisconsin, Milwaukee, WI, USA. morrell@med.unc.edu
Insights
This study presents two children with chronic, asymmetric skin indurations, suggesting a rare condition. The findings highlight key features of childhood scleredema and stiff skin syndrome for better diagnosis.
Area of Science:
- Pediatric Dermatology
- Rare Genetic Disorders
Background:
- Scleredema and stiff skin syndrome are rare connective tissue disorders affecting children.
- These conditions present with chronic, progressive skin indurations, posing diagnostic challenges.
Observation:
- Two pediatric cases with chronic, asymmetric skin indurations were observed.
- Clinical and pathological examinations were conducted to characterize the skin lesions.
Findings:
- The observed features are consistent with asymmetric childhood scleredema and stiff skin syndrome.
- Key distinguishing clinical and pathological characteristics of both conditions were identified.
Implications:
- Improved diagnostic criteria for childhood scleredema and stiff skin syndrome are needed.
- Understanding these rare conditions can lead to earlier intervention and management strategies.
Abstract:
Two children with chronic and asymmetric skin indurations are presented. The clinical and pathologic features are suggestive of asymmetric childhood scleredema and stiff skin syndrome. The key features of scleredema and stiff skin syndrome are discussed.
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