Pediatrics & Neonatology
Volume 50, Issue 6 , Pages 294-298 , December 2009

Linear Scleroderma “En Coup De Sabre”: Initial Presentation as Intractable Partial Seizures in a Child

  • Kuo-Liang Chiang

      Affiliations

    • Department of Pediatrics, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
    • Department of Pediatrics, Kuang-Tien General Hospital, Taichung, Taiwan
    • Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
    • ,
  • Kai-Ping Chang

      Affiliations

    • Department of Pediatrics, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Pediatrics, Taipei Veterans General Hospital, 201 Shih-Pai Road, Section 2, Taipei 112, Taiwan
    • ,
  • Tai-Tong Wong

      Affiliations

    • Department of Pediatrics, Kuang-Tien General Hospital, Taichung, Taiwan
    • Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
    • National Yang-Ming University School of Medicine, Taipei, Taiwan
    • ,
  • Ting-Rong Hsu

      Affiliations

    • Department of Pediatrics, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan
    • National Yang-Ming University School of Medicine, Taipei, Taiwan

Received 22 January 2009 ,Revised 18 May 2009 ,Accepted 25 May 2009.

References 

  1. Itin PH , Schiller P . Double-lined frontoparietal scleroderma en coup de sabre . Dermatology . 1999;199:185–186
  2. Addison CH . Medico-chirurgical transactions of 1854, quoted by Fox TC: note on the history of scleroderma in England . Br J Dermatol . 1892;4:101
  3. Peterson LS , Nelson AM , Su WP . Classification of morphea (localized scleroderma) . Mayo Clin Proc . 1995;70:1068–1076
  4. Peterson LS , Nelson AM , Su WP , Mason T , O'Fallon WM , Gabriel SE . The epidemiology of morphea (localized scleroderma) in Olmsted County 1960–1993 . J Rheumatol . 1997;24:73–80
  5. Blaszczyk M , Janniger CK , Jablonska S . Childhood scleroderma and its peculiarities . Cutis . 1996;58:141–152
  6. Eubanks LE , McBurney EI , Galen W , Reed R . Linear scleroderma in children . Int J Dermatol . 1996;35:330–336
  7. Lecerf V , Bagot M , Revuz J , Touraine R , Dournon E . Borrelia burgdorferi and localized scleroderma . Arch Dermatol . 1989;125:297
  8. Eisendle K , Grabner T , Zelger B . Morphoea: a manifestation of infection with Borrelia species? . Br J Dermatol . 2007;157:1189–1198
  9. Prinz JC , Kutasi Z , Weisenseel P , Poto L , Battyani Z , Ruzicka T . “Borrelia-associated early-onset morphea”: a particular type of scleroderma in childhood and adolescence with high titer antinuclear antibodies? Results of a cohort analysis and presentation of three cases . J Am Acad Dermatol . 2009;60:248–255
  10. Longo F , Saletta S , Lepore L , Pennesi M . Localized scleroderma after infection with Epstein-Barr virus . Clin Exp Rheumatol . 1993;11:681–683
  11. Spirer Z , Ilie B , Pick IA , Yaron M . Localized scleroderma following varicella in a three-year-old girl with IgA deficiency . Acta Paediatr Scand . 1979;68:783–785
  12. Holland KE , Steffes B , Nocton JJ , Schwabe MJ , Jacobson RD , Drolet BA . Linear scleroderma en coup de sabre with associated neurologic abnormalities . Pediatrics . 2006;117:132–136
  13. Vancheeswaran R , Black CM , David J , et al.   Childhood-onset scleroderma: is it different from adult-onset disease? . Arthritis Rheum . 1996;39:1041–1049
  14. Yamanaka CT , Gibbs NF . Trauma-induced linear scleroderma . Cutis . 1999;63:29–32
  15. Tuffanelli DL . Localized scleroderma . Semin Cutan Med Surg . 1998;17:27–33
  16. Emery H . Pediatric scleroderma . Semin Cutan Med Surg . 1998;17:41–47
  17. Chung MH , Sum J , Morrell MJ , Horoupian DS . Intracerebral involvement in scleroderma en coup de sabre: report of a case with neuropathologic findings . Ann Neurol . 1995;37:679–681
  18. Pupillo G , Andermann F , Dubeau F . Linear scleroderma and intractable epilepsy: neuropathologic evidence for a chronic inflammatory process . Ann Neurol . 1996;39:277–278
  19. Stone J , Franks AJ , Guthrie JA , Johnson MH . Scleroderma “en coup de sabre”: pathological evidence of intracerebral inflammation . J Neurol Neurosurg Psychiatry . 2001;70:382–385
  20. Wakhlu A , Agarwal V , Aggarwal A , Misra R . Parry Romberg syndrome: a close differential diagnosis of linear scleroderma en coup de sabre . J Assoc Physicians India . 2003;51:980
  21. Lehman TJ . The Parry Romberg syndrome of progressive facial hemiatrophy and linear scleroderma en coup de saber: mistaken diagnosis or overlapping conditions? . J Rheumatol . 1992;19:844–845
  22. David J , Wilson J , Woo P . Scleroderma ‘en coup de sabre’ . Ann Rheum Dis . 1991;50:260–262
  23. Marzano AV , Menni S , Parodi A , et al.   Localized scleroderma in adults and children: clinical and laboratory investigations on 239 cases . Eur J Dermatol . 2003;13:171–176
  24. Falanga V , Medsger TA , Reichlin M , Rodnan GP . Linear scleroderma: clinical spectrum, prognosis, and laboratory abnormalities . Ann Intern Med . 1986;104:849–857
  25. Flores-Alvarado DE , Esquivel-Valerio JA , Garza-Elizondo M , Espinoza LR . Linear scleroderma en coup de sabre and brain calcification: is there a pathogenic relationship? . J Rheumatol . 2003;30:193–195
  26. Liu P , Uziel Y , Chuang S , Silverman E , Krafchik B , Laxer R . Localized scleroderma: imaging features . Pediatr Radiol . 1994;24:207–209
  27. Appenzeller S , Montenegro MA , Dertkigil SS , et al.   Neuroimaging findings in scleroderma en coup de sabre . Neurology . 2004;62:1585–1589
  28. Unterberger I , Trinka E , Engelhardt K , et al.   Linear scleroderma “en coup de sabre” coexisting with plaque-morphea: neuroradiological manifestation and response to corticosteroids . J Neurol Neurosurg Psychiatry . 2003;74:661–664
  29. Heron E , Hernigou A , Chatellier G , Fornes P , Emmerich J , Fiessinger JN . Intracerebral calcification in systemic sclerosis . Stroke . 1999;30:2183–2185
  30. Falanga V , Medsger TA . D-penicillamine in the treatment of localized scleroderma . Arch Dermatol . 1990;126:609–612
  31. Obermoser G , Pfausler BE , Linder DM , Sepp NT . Scleroderma en coup de sabre with central nervous system and ophthalmologic involvement: treatment of ocular symptoms with interferon gamma . J Am Acad Dermatol . 2003;49:543–546
  32. Uziel Y , Feldman BM , Krafchik BR , Yeung RS , Laxer RM . Methotrexate and corticosteroid therapy for pediatric localized scleroderma . J Pediatr . 2000;136:91–95

PII: S1875-9572(09)60081-4

doi: 10.1016/S1875-9572(09)60081-4

Pediatrics & Neonatology
Volume 50, Issue 6 , Pages 294-298 , December 2009

Article Tools