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MODERN RHEUMATOLOGY Vol.14 No.3

>MR14-3

A case of a childhood linear scleroderma with limb asymmetry
Kazumitsu Sugiura1 , Yoshinao Muro1 and Yasushi Tomita1
(1) Division of Connective Tissue Disease and Autoimmunity, Department of Dermatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan
Received: 11 September 2003 Accepted: 13 February 2004

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Abstract

 We report the case of a child with unilateral linear scleroderma disturbing the right lower limb. It took three-quarters of a year to be diagnosed as linear scleroderma and another 8 months to be treated with oral steroids. Although functional disabilities of the right knee and foot were improved with the steroid therapy, the limb asymmetry has remained. We believe that early treatment with steroids is essential for childhood linear scleroderma with lesions over any joints.
 
Key words
Anti-single-stranded DNA - Limb asymmetry - Linear scleroderma - Oral steroid therapy - Thermography
 
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