Juvenile scleroderma, often referred to as juvenile localized scleroderma or "morphea", is a rare inflammatory disease of the skin and skin-related structures, accompanied by local sclerosis and tissue fibrosis. Depending on the clinical manifestation, four different subtypes can be defined: limited, generalized, linear, and mixed. To prevent possible sequelae of the disease, the diagnosis should be made as early as possible and therapy should be initiated at specialized centers in multiprofessional pediatric and dermatologic collaboration. In this review, we present the main clinical, laboratory, and therapeutic characteristics of juvenile localized scleroderma and summarize recommendations.
机构:
Univ Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Amaral, Tiago Nardi
;
Marques Neto, Joao Francisco
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Univ Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Marques Neto, Joao Francisco
;
Lapa, Aline Tamires
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Univ Estadual Campinas, UNICAMP, Fac Med Sci, Postgrad Program Child & Adolescent Hlth, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Lapa, Aline Tamires
;
Peres, Fernando Augusto
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Univ Estadual Campinas, Fac Med Sci, Rheumatol Lab, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Peres, Fernando Augusto
;
Guirau, Caio Rodrigues
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Univ Estadual Campinas, Fac Med Sci, Rheumatol Lab, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Guirau, Caio Rodrigues
;
Appenzeller, Simone
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Univ Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Univ Estadual Campinas, Fac Med Sci, Rheumatol Lab, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Arkachaisri, Thaschawee
;
Vilaiyuk, Soamarat
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机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Vilaiyuk, Soamarat
;
Li, Suzanne
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Hackensack Univ, Med Ctr, Hackensack, NJ USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Li, Suzanne
;
O'Neil, Kathleen M.
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Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
O'Neil, Kathleen M.
;
Pope, Elena
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Univ Toronto, Toronto, ON, Canada
Hosp Sick Children, Toronto, ON M5G 1X8, CanadaChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Pope, Elena
;
Higgins, Gloria C.
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Nationwide Childrens Hosp, Columbus, OH USA
Ohio State Univ, Columbus, OH 43210 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Higgins, Gloria C.
;
Punaro, Marilynn
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Texas Scottish Rite Hosp Children, Dallas, TX USA
Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Punaro, Marilynn
;
Rabinovich, Egla C.
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Duke Univ, Med Ctr, Durham, NC USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Rabinovich, Egla C.
;
Rosenkranz, Margalit
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Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Rosenkranz, Margalit
;
Kietz, Daniel A.
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Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Kietz, Daniel A.
;
Rosen, Paul
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Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Rosen, Paul
;
Spalding, Steven J.
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Cleveland Clin, Cleveland, OH 44106 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Spalding, Steven J.
;
Hennon, Teresa R.
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机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Hennon, Teresa R.
;
Torok, Kathryn S.
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机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Torok, Kathryn S.
;
Cassidy, Elaine
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机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Cassidy, Elaine
;
Medsger, Thomas A., Jr.
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Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Univ Pittsburgh, Sch Med, Pittsburgh, PA USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
机构:
Christian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, IndiaChristian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, India
George, Renu
;
George, Anju
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Christian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, IndiaChristian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, India
George, Anju
;
Kumar, T. Sathish
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Christian Med Coll & Hosp, Dept Child Hlth, Vellore, Tamil Nadu, IndiaChristian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, India
机构:
Univ British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Univ British Columbia, Child & Family Res Inst, Vancouver, BC V5Z 4E8, CanadaUniv British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Ghoreishi, Mehran
;
Vera Kellet, Cristian
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Pontificia Univ Catolica Chile, Santiago, ChileUniv British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Vera Kellet, Cristian
;
Dutz, Jan P.
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Univ British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Univ British Columbia, Child & Family Res Inst, Vancouver, BC V5Z 4E8, CanadaUniv British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
机构:
Univ Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Amaral, Tiago Nardi
;
Marques Neto, Joao Francisco
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Univ Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Marques Neto, Joao Francisco
;
Lapa, Aline Tamires
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机构:
Univ Estadual Campinas, UNICAMP, Fac Med Sci, Postgrad Program Child & Adolescent Hlth, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Lapa, Aline Tamires
;
Peres, Fernando Augusto
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Univ Estadual Campinas, Fac Med Sci, Rheumatol Lab, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Peres, Fernando Augusto
;
Guirau, Caio Rodrigues
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Univ Estadual Campinas, Fac Med Sci, Rheumatol Lab, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Guirau, Caio Rodrigues
;
Appenzeller, Simone
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机构:
Univ Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
Univ Estadual Campinas, Fac Med Sci, Rheumatol Lab, BR-13083970 Campinas, SP, BrazilUniv Estadual Campinas, Fac Med Sci, Rheumatol Div, BR-13083970 Campinas, SP, Brazil
机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Arkachaisri, Thaschawee
;
Vilaiyuk, Soamarat
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机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Vilaiyuk, Soamarat
;
Li, Suzanne
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h-index: 0
机构:
Hackensack Univ, Med Ctr, Hackensack, NJ USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Li, Suzanne
;
O'Neil, Kathleen M.
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Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
O'Neil, Kathleen M.
;
Pope, Elena
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h-index: 0
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Univ Toronto, Toronto, ON, Canada
Hosp Sick Children, Toronto, ON M5G 1X8, CanadaChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Pope, Elena
;
Higgins, Gloria C.
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h-index: 0
机构:
Nationwide Childrens Hosp, Columbus, OH USA
Ohio State Univ, Columbus, OH 43210 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Higgins, Gloria C.
;
Punaro, Marilynn
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h-index: 0
机构:
Texas Scottish Rite Hosp Children, Dallas, TX USA
Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Punaro, Marilynn
;
Rabinovich, Egla C.
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Duke Univ, Med Ctr, Durham, NC USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Rabinovich, Egla C.
;
Rosenkranz, Margalit
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Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Rosenkranz, Margalit
;
Kietz, Daniel A.
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Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Kietz, Daniel A.
;
Rosen, Paul
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Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Rosen, Paul
;
Spalding, Steven J.
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Cleveland Clin, Cleveland, OH 44106 USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Spalding, Steven J.
;
Hennon, Teresa R.
论文数: 0引用数: 0
h-index: 0
机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Hennon, Teresa R.
;
Torok, Kathryn S.
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机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Torok, Kathryn S.
;
Cassidy, Elaine
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机构:Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Cassidy, Elaine
;
Medsger, Thomas A., Jr.
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机构:
Childrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
Univ Pittsburgh, Sch Med, Pittsburgh, PA USAChildrens Hosp Pittsburgh, Div Rheumatol, Pittsburgh, PA 15213 USA
机构:
Christian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, IndiaChristian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, India
George, Renu
;
George, Anju
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Christian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, IndiaChristian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, India
George, Anju
;
Kumar, T. Sathish
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Christian Med Coll & Hosp, Dept Child Hlth, Vellore, Tamil Nadu, IndiaChristian Med Coll & Hosp, Dept Dermatol Venereol & Leprosy, Vellore 632004, Tamil Nadu, India
机构:
Univ British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Univ British Columbia, Child & Family Res Inst, Vancouver, BC V5Z 4E8, CanadaUniv British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Ghoreishi, Mehran
;
Vera Kellet, Cristian
论文数: 0引用数: 0
h-index: 0
机构:
Pontificia Univ Catolica Chile, Santiago, ChileUniv British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Vera Kellet, Cristian
;
Dutz, Jan P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada
Univ British Columbia, Child & Family Res Inst, Vancouver, BC V5Z 4E8, CanadaUniv British Columbia, Dept Dermatol & Skin Sci, Vancouver, BC V5Z 4E8, Canada