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The scleroderma neck sign.

C L Weinstein1, M H Miller, S Kossard

  • 1Rheumatology Unit, Prince Henry's Hospital, Melbourne, Australia.

The Journal of Rheumatology
|December 1, 1989
PubMed
Summary
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The scleroderma neck sign, a tight band on the neck, is a reliable indicator of scleroderma. This sign correlates with skin changes and can aid in diagnosing early or limited scleroderma.

Area of Science:

  • Dermatology
  • Rheumatology
  • Medical Diagnostics

Background:

  • The scleroderma neck sign is a clinical finding characterized by a tight band over the platysma muscle in the hyperextended neck.
  • Previous surveys suggest a high prevalence of this sign in scleroderma patients.

Purpose of the Study:

  • To evaluate the specificity of the scleroderma neck sign.
  • To investigate the correlation between the scleroderma neck sign and histological skin changes in scleroderma patients.

Main Methods:

  • A study involving 15 patients with scleroderma and 30 controls (including 3 with primary Raynaud's disease).
  • Clinical assessment for the scleroderma neck sign.
  • Skin biopsies of the neck overlying the platysma muscle for histological examination.

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Main Results:

  • The scleroderma neck sign was present in 12 out of 15 scleroderma patients (80%) and absent in all 30 controls.
  • The sign was observed in both diffuse and limited scleroderma subtypes.
  • Histological confirmation of scleroderma was found in 10 out of 12 patients with the neck sign.

Conclusions:

  • The scleroderma neck sign is a specific clinical indicator of scleroderma, linked to underlying histological skin changes.
  • This sign may be particularly valuable for diagnosing scleroderma in its limited or early stages when other clinical signs are subtle.