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Localized scleroderma (LiS) in children, a rare condition causing skin hardening, can affect the face. This case report follows a young girl with facial LiS, noting lip changes and a dental defect over three years.

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Area of Science:

  • Dermatology
  • Pediatrics
  • Oral Medicine

Background:

  • Localized scleroderma (LoS), or morphea, is a rare inflammatory condition characterized by excessive collagen deposition.
  • Linear scleroderma (LiS), the most common subtype in children, typically affects the face and extremities.

Observation:

  • This case report details a 5-year-old girl with LiS affecting her left upper lip and oral mucosa.
  • She also had a concurrent developmental root defect of the permanent maxillary left central incisor.
  • Treatment options including intralesional corticosteroids were considered but declined; a biopsy was performed due to lesion progression.

Findings:

  • Over a three-year follow-up, the oral mucosal lesion stabilized.
  • However, progressive notching of the upper lip was observed.
  • The patient will likely require future surgical intervention for aesthetic correction of the lip deformity.

Implications:

  • This case highlights the long-term cosmetic and functional challenges of pediatric linear scleroderma affecting the face.
  • It underscores the importance of monitoring disease progression and planning for reconstructive surgery.
  • Early recognition and management are crucial for optimizing outcomes in pediatric LiS.