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[Orthopedic management of localized linear scleroderma in children: a case report]
O Ruiz-Mejía1, J Pimentel-Rangel1, J A Oribio-Gallegos1
1Servicio de Ortopedia Pediátrica. Unidad Médica de Alta Especialidad (UMAE), Hospital de Traumatología y Ortopedia Lomas Verdes. Instituto Mexicano del Seguro Social (IMSS). Estado de México. México.
Introduction:
Localized scleroderma is the most common form of sclerosis in children; it has an incidence of 2.7 per 100,000 inhabitants, with a predilection for the Caucasian and female races of 2.4 to 4.1 per male. The common denominator is the connective tissue-level condition, causing a variety of clinical presentation ranging from localized sclerotic circumscribed plaques affecting the skin, to deeper conditions that attack muscle and bone tissue, leaving aesthetic consequences and/or disabling deformities in the patient.
Objective:
Case presentation and surgical management. The data presented were obtained from the physical and electronic clinical record, direct interview with patients and family members and monitoring and evaluation of radiographic studies, from January 2012 to November 2017.
Discussion:
Surgical treatment is indicated when deformities and contractures condition incapacity in the patient. The best results will be obtained once the disease has stopped progressing.
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