TY  - CHAP
M1  - Book, Section
TI  - Scleroderma and Morphea
A1  - Mayeaux, E.J.
A1  - Raman, Vidya
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
PY  - 2015
T2  - The Color Atlas of Pediatrics
AB  - A  4-year-old  boy  presented  with  a  one-year  history  of  skin  redness  and  tightening  over  the  right  upper  extremity.  His  mother  had  initially  noticed  the  lesion  after  applying  a  temporary  tattoo.  He  complained  of  occasional  itching  and  pain  over  the  area.  His  mother  was  concerned  that  his  arm  appeared  to  be  “shrinking.”  He  had  no  prior  medical  problems  or  preceding  infections  and  his  immunizations  were  up-to-date.  He  had  difficulty  grasping  a  crayon  due  to  involvement  of  his  fingers.  On  exam,  he  had  a  large  area  of  skin  tightening  extending  from  the  right  scapular  region  and  upper  arm  down  to  the  forearm,  index  finger  and  thumb  (Figure  178-1).  He  was  referred  to  a  dermatologist  who  performed  a  punch  biopsy  confirming  a  diagnosis  of  morphea  (localized  scleroderma).  He  was  treated  with  topical  fluticasone  without  benefit  and  referred  to  a  pediatric  rheumatologist  for  systemic  therapy  with  methotrexate.  Serologic  testing  showed  a  negative  ANA  and  scleroderma  antibody  and  he  has  had  no  features  of  systemic  scleroderma.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114878411
ER  -