Congenital localized scleroderma

Francesco Zulian, Cristina Vallongo, Sheila Knupp Feitosa de Oliveira, Marilynn G. Punaro, Joan Ros, Henryka Mazur-Zielinska, Paul Galea, Liviana Da Dalt, Lawrence F. Eichenfield

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37 Scopus citations

Abstract

Objectives: Juvenile localized scleroderma (JLS) usually has its onset during later childhood. This report describes the clinical and serologic features of six children with congenital localized scleroderma (CLS). Study design: A large, multinational study was conducted among pediatric rheumatology and dermatology centers by collecting information on demographics, family history, triggering environmental factors, clinical features, laboratory reports, and treatment of patients with JLS. Patients with onset at birth were carefully examined. Results: Among 750 patients with JLS, 6 patients (0.8%) had scleroderma-related lesions at birth. Female-to-male ratio was 2:1. All patients had linear scleroderma, in four involving the face with en coup de sabre appearance. Two patients were misdiagnosed as having skin infection, one nevus, one salmon patch, and two undefined skin lesions. The mean diagnostic delay was 3.9 years. In comparison with the group of 733 patients with late-onset JLS, CLS presented a significantly more prolonged disease duration at diagnosis and a higher frequency of en coup de sabre subtypes. Conclusions: Congenital localized scleroderma is a rare and probably underestimated condition in neonates. The linear subtype was the exclusive manifestation of the disease. CLS should be included in the differential diagnosis of infants with cutaneous erythematous fibrotic lesions to avoid functional and aesthetic sequelae and to allow prompt therapy.

Original languageEnglish (US)
Pages (from-to)248-251
Number of pages4
JournalJournal of Pediatrics
Volume149
Issue number2
DOIs
StatePublished - Aug 1 2006

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Zulian, F., Vallongo, C., de Oliveira, S. K. F., Punaro, M. G., Ros, J., Mazur-Zielinska, H., Galea, P., Da Dalt, L., & Eichenfield, L. F. (2006). Congenital localized scleroderma. Journal of Pediatrics, 149(2), 248-251. https://doi.org/10.1016/j.jpeds.2006.04.052