Acquired pediatric blepharoptosis related to linear scleroderma

Area of Science:

• Ophthalmology
• Dermatology
• Pediatrics

Background:

• Linear scleroderma coup de sabre is a rare autoimmune condition characterized by hardened skin, often affecting the face.
• Blepharoptosis, or drooping of the upper eyelid, can sometimes be associated with periocular scleroderma.
• The typical presentation involves lesions near the affected eye.

Observation:

• A 4-year-old girl presented with left blepharoptosis.
• Simultaneously, she had a scalp lesion consistent with linear scleroderma coup de sabre.
• Notably, the scalp lesion was located remotely from the affected eye.

Findings:

• This case presents a unique presentation of linear scleroderma coup de sabre.
• The association between a distant scalp lesion and ipsilateral blepharoptosis is unusual.
• It suggests potential systemic or neurological pathways influencing ocular manifestation.

Implications:

• This case expands the understanding of scleroderma coup de sabre's varied clinical presentations.
• It may prompt further investigation into the mechanisms linking remote sclerotic lesions to ocular complications.
• Clinicians should consider a broader differential diagnosis for blepharoptosis, even with distant sclerotic findings.