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[Pigmentation disorders in systemic sclerodermia]

M Gonin1, J C Gerster

  • 1Service de rhumatologie, CMUV, Lausanne.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|January 11, 1994
PubMed
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Systemic sclerosis can cause significant skin pigmentation changes, especially hyperpigmentation. Local factors like friction and temperature may worsen these skin abnormalities, but physical therapies can help improve them.

Area of Science:

  • Dermatology
  • Rheumatology

Background:

  • Skin pigmentation changes are a known manifestation of systemic sclerosis.
  • Various dermatological aspects have been documented in relation to this condition.

Observation:

  • A 48-year-old male patient with severe, progressive systemic sclerosis exhibited diverse skin pigmentation changes, notably severe hyperpigmentation.
  • The distribution and severity of these pigmentary abnormalities appeared influenced by local factors such as friction, trauma, and temperature variations.

Findings:

  • Local environmental and physical factors play a role in the pathogenesis and presentation of skin pigmentation changes in systemic sclerosis.
  • Physical treatments, including connective tissue massage and lymphatic drainage, demonstrated significant benefits.

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Implications:

  • Understanding the influence of local factors can refine the management of skin manifestations in systemic sclerosis.
  • Physical therapies offer a promising avenue for improving skin ulcerations and pigmentation abnormalities in affected patients.