Generalized scleroderma in a girl
Keywords:
SCLERODERMA, SYSTEMIC, ESCLERODERMIA LOCALIZADA, SCLEROSIS, RHEUMATIC DISEASESAbstract
Scleroderma is an autoimmune condition of unknown causes that can be presented affecting only the skin, called morphea, or affecting body systems. As part of the morphea the generalized form is not very common in childhood. This study presents the case of a girl who was taken to "Mártires de Las Tunas" Provincial Pediatric Hospital with generalized cutaneous manifestations, mainly in the trunk and limbs, not including the face, and characterized by sclerotic hyperpigmented and hypopigmented lesions which do not allow pinching the skin. Several investigations were performed ruling out systemic affectations and the diagnosis of generalized scleroderma was confirmed by means of a histopathologic study. Mother and patient were given advice and the topic and systemic treatment was adjusted according to the degree of the condition. The patient progressed satisfactorily.Downloads
References
Cobo Ibáñez T, Prats Caelles I. Manual SER de Reumatología. 6ta Ed. España: Sociedad Española de Reumatología; 2014. p. 123-130. Disponible en: https://www.clinicalkey.es/#!/content/book/3-s2.0-.
Ibañes Rubio M. Esclerodermia sistémica en la infancia. Protocolos de la Asociación Española de Pediatría. Protocolos de Reumatología Pediátrica. Barcelona: Esmon Publicidad; 2007. p. 31-4. Disponible en: https://www.aeped.es/sites/default/files/documentos/5-esclerodermia.pdf.
García Serna B. ¿Qué es la esclerodermia? Asociación Española de Esclerodermia; 2014. Disponible en: http://www.esclerodermia.org/scleroderma/wp-content/uploads/2015/01/QUE_ES_LA_ESCLERODERMIA .pdf.
Coto Hermosilla C. Reumatología pediátrica. La Habana: Ed Ciencias Médicas; 2012. Disponible en: http://www.bvs.sld.cu/libros/reumatologia_pediatrica/reumatologia_completo.pdf.
Batista Remedios S, Grass Velázquez A, del Campo Avilés E, Pérez Torres L. Mecanismos etiopatogénicos en la esclerosis sistémica. Revista Cubana de Reumatología [revista en internet]. 2014 [citado 27 de febrero 2017]; 16(3). Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article /view/355.
Velázquez Avila Y, Fajardo Rojas Y, Rodríguez Torres T, Morales Solís M, Santos Fernández R. Factores de riesgo de las enfermedades reumáticas en niños atendidos en el Hospital Pediátrico Provincial “Mártires de Las Tunas”. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta [revista en internet]. 2015 [citado 27 de febrero 2017]; 40(7). Disponible en: http://www.revzoilomarinello.sld.cu/index.php/zmv/ article/view/36.
Scleroderma Foundation. La esclerodermia: información general. Fundación de Esclerodermia; 2014. Disponible en: http://www.scleroderma.org/site/DocServer/esclerodermia-general-y-sus-causas.pdf?doc ID=348.
Pérez Campos D. Manual diagnóstico de enfermedades reumáticas. Esclerosis sistémica. La Habana: Ed Ciencias Médicas; 2012: 287–288. Disponible en: http://bvs.sld.cu/libros/manual_diagnostico/cap8.pdf.
García de la Peña Lefebvre P. Esclerodermia Sistémica. Protocdiagn ter pediatr [revista en internet]. 2014 [citado 27 de febrero 2017]; 1: 101-6. Disponible en: http://www.aeped.es/sites/default/files/ documentos/11_esclerodermia_localizada.pdf.
Facal J, Maciel G, Consani S. Esclerosis localizada. Enfermedad incurable con mejoría pronóstica. Tendencias en medicina; 2008. Disponible en: http://clinicamedica1.com.uy/wp-content/uploads/2016/ 05/Esclerosis_sistemica.pdf.
Manzur J. Dermatología. La Habana: Ed Ciencias Médicas; 2002. p. 230-31.
Guerreiro Hernández AM, Leyva Rodríguez A, Villaescusa Blanco R. Estudio deautoanticuerpos en pacientes con diagnóstico presuntivo de esclerodermia. Revista Cubana de Hematol, Inmunol y Hemoter [revista en internet]. 2015 [citado 27 de febrero 2017]; 31(2): 217-220. Disponible en: http://scielo.sld.cu/pdf/hih/v31n2/hih14215.pdf.
Downloads
Published
How to Cite
Issue
Section
License
This journal provides free and immediate access to its content under the principle that making research freely available to the public supports a greater exchange of global knowledge. This means that the authors transfer the copyright to the journal, so that copies and distribution of the contents can be made by any means, as long as the authors' acknowledgment is maintained. These terms are a reflection that the journal assumes copyright under Creative Commons licenses, specifically under a Creative Commons Attribution 4.0 International license.
Registration and submission of articles to the journal is free. The processing, including review, editing and publication, is completely free of charge.
