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Linear scleroderma en coup de sabre with associated neurologic abnormalities
Kristen E Holland1, Burt Steffes, James J Nocton
1Department of Dermatology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. kholland@mcw.edu
Insights
Linear scleroderma en coup de sabre, a rare pediatric skin condition, is linked to neurological issues. Early skin checks are vital for children with unexplained neurological symptoms.
Area of Science:
- Pediatric Dermatology
- Pediatric Neurology
- Autoimmune Connective Tissue Diseases
Background:
- Linear scleroderma is a localized scleroderma subtype predominantly affecting children.
- Linear scleroderma en coup de sabre specifically involves the head, resembling a sabre wound.
- Neurologic complications are not widely recognized in this condition.
Observation:
- Three pediatric cases of linear scleroderma en coup de sabre are presented.
- These patients exhibited neurologic abnormalities preceding or coinciding with their skin diagnosis.
- The study emphasizes the connection between the skin condition and neurological manifestations.
Findings:
- The presented cases underscore a potentially underrecognized association between linear scleroderma en coup de sabre and neurologic abnormalities.
- Neurologic symptoms can manifest prior to or at the time of dermatologic diagnosis.
- This highlights a critical diagnostic link between seemingly distinct conditions.
Implications:
- Clinicians should consider neurologic evaluations in pediatric patients diagnosed with linear scleroderma en coup de sabre.
- A thorough skin examination is crucial for children presenting with unexplained neurologic deficits.
- Early recognition of this association may improve patient outcomes and management strategies.
Abstract:
Linear scleroderma represents a unique form of localized scleroderma that primarily affects the pediatric population, with 67% of patients diagnosed before 18 years of age. When linear scleroderma occurs on the head, it is referred to as linear scleroderma en coup de sabre, given the resemblance of the skin lesions to the stroke of a sabre. Here we describe 3 pediatric patients with linear scleroderma en coup de sabre who presented with neurologic abnormalities before or concurrent with the diagnosis of their skin disease. Our patients' cases highlight the underrecognized relationship between neurologic complications and linear scleroderma en coup de sabre and illustrate the importance of a thorough skin examination in patients with unexplained neurologic disease.
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