Imaging and clinical findings in a case of linear scleroderma en coup de sabre
| Autor: | Ravi Jampana, Conal M Corbally, Andrew Breckenridge |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Pathology business.industry medicine.medical_treatment Soft tissue Immunosuppression Case Report General Medicine medicine.disease Dermatology Scleroderma 030218 nuclear medicine & medical imaging 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Migraine medicine Anxiety Linear Scleroderma medicine.symptom business skin and connective tissue diseases Depression (differential diagnoses) Calcification |
| Zdroj: | BJR | case reports |
| ISSN: | 2055-7159 |
| Popis: | We present the case of a 58-year-old female presenting with acute onset headache and decrease in left-sided facial sensation. The patient's background included diabetes Type 2, hypertension, migraine, anxiety with depression and scleroderma in her childhood. Imaging revealed foci of right frontal calcification and confluent white matter changes, reported as sequelae of a previous ischaemic episode. Following a second presentation with the same symptoms, further imaging showed a linear soft tissue scar overlying these changes, which suggested a diagnosis of linear scleroderma (en coup de sabre). On questioning, it was found that this had developed during the patient's late teens but had not progressed since that time. Coup de sabre type linear scleroderma is often associated with intracranial imaging findings, even in the absence of symptoms. The pathogenesis of neurological symptoms is poorly understood but does seem to respond to immunosuppression. |
| Databáze: | OpenAIRE |
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