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Sydney S. Gellis, MD; Murray Feingold, MD; J. Sussman, MD; Theodore F. Biesiadecki, MD
[+] Author Affiliations

Received for publication Jan 3, 1972; accepted Jan 4.

Reprint requests to Boston Floating Hospital, 20 Ash St, Boston 02111 (Dr. Gellis).


Am J Dis Child. 1972;123(5):485-487. doi:10.1001/archpedi.1972.02110110113012.
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Denouement and Discussion 

Focal Scleroderma 

Manifestations  Symptoms may start as early as 2 weeks of age. Skin lesions are present mainly on the face, trunk, and extremities and vary in size and shape. Involvement is usually unilateral but occasionally may be bilateral. When limited to the scalp or side of the face, the lesion is called a coup de sabre. First noted are localized erythema and edema. The lesions then become firm and waxy colored; occasionally there may be a surrounding violaceous halo. Later the lesions become atrophic and hypopigmented. Scarring may lead to secondary atrophy of the underlying muscles, contractures, demineralization, and alteration of local bone growth. On occasion there may be subcutaneous calcium deposits.Complete remissions are common and may last from months to many years following the onset. However, chronicity does occur and in one recorded case activity was still present after 33 years. Disability depends upon

REFERENCES

Christianson HB, Dorsey CS, O'Leary PA, et al:  Localized scleroderma: Clinical study of 235 cases . Arch Derm 74:629-639, 1956;.
Link to Article
Cook CD, Rosen FS, Banker BQ:  Dermatomyositis and focal scleroderma . Pediat Clin N Amer 10:970-1015, 1963;.
Chazen EM, Cook CD, Cohen J:  Focal scleroderma . J Pediat 60:385-394, 1962;.
Link to Article
Datey KK, Deshmukh MM, Engineer SD, et al:  Straight back syndrome . Brit Heart J 26:614-619, 1964;.
Link to Article
De Leon AC, Perloff JK, Twigg H, et al:  The straight back syndrome: Clinical cardiovascular manifestations . Circulation 31:193-203, 1965;.
Link to Article
Rawlings MS:  The "straight back" syndrome: A new cause of pseudoheart disease . Amer J Cardiol 5:333-338, 1960;.
Link to Article

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

Christianson HB, Dorsey CS, O'Leary PA, et al:  Localized scleroderma: Clinical study of 235 cases . Arch Derm 74:629-639, 1956;.
Link to Article
Cook CD, Rosen FS, Banker BQ:  Dermatomyositis and focal scleroderma . Pediat Clin N Amer 10:970-1015, 1963;.
Chazen EM, Cook CD, Cohen J:  Focal scleroderma . J Pediat 60:385-394, 1962;.
Link to Article
Datey KK, Deshmukh MM, Engineer SD, et al:  Straight back syndrome . Brit Heart J 26:614-619, 1964;.
Link to Article
De Leon AC, Perloff JK, Twigg H, et al:  The straight back syndrome: Clinical cardiovascular manifestations . Circulation 31:193-203, 1965;.
Link to Article
Rawlings MS:  The "straight back" syndrome: A new cause of pseudoheart disease . Amer J Cardiol 5:333-338, 1960;.
Link to Article

Correspondence

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