Localized scleroderma in a newborn (case report)

<p> N.I. Akhmina<sup>1</sup>, P.S. Utkin<sup>2</sup>, M.P. Shalatonin<sup>3</sup>, Zh.L. Chabaidze<sup>1</sup>, A.A. Dement’ev<sup>1</sup>, A.L. Zaplatnikov<sup>1</sup> </p> <p> <sup>1</sup>Russi...

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Main Authors: N.I. Akhmina, P.S. Utkin, M.P. Shalatonin, Zh.L. Chabaidze, A.A. Dementiev, A.L. Zaplatnikov
Format: Article
Language:Russian
Published: LCC «Medicine-Inform» 2022-05-01
Series:РМЖ. Мать и дитя
Online Access:http://wchjournal.com/upload/iblock/d00/d006bca45b8eafed64b29f0013bf3fe1.pdf
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author N.I. Akhmina
P.S. Utkin
M.P. Shalatonin
Zh.L. Chabaidze
A.A. Dementiev
A.L. Zaplatnikov
author_facet N.I. Akhmina
P.S. Utkin
M.P. Shalatonin
Zh.L. Chabaidze
A.A. Dementiev
A.L. Zaplatnikov
author_sort N.I. Akhmina
collection DOAJ
description <p> N.I. Akhmina<sup>1</sup>, P.S. Utkin<sup>2</sup>, M.P. Shalatonin<sup>3</sup>, Zh.L. Chabaidze<sup>1</sup>, A.A. Dement’ev<sup>1</sup>, A.L. Zaplatnikov<sup>1</sup> </p> <p> <sup>1</sup>Russian Medical Academy of Continuous Professional Education, Moscow,&nbsp; </p> <p> &nbsp;Russian Federation </p> <p> <sup>2</sup>Children’s Infectious Clinical Hospital No. 6, Moscow, Russian Federation </p> <p> <sup>3</sup>Morozov Children’s City Clinical Hospital, Moscow, Russian Federation </p> <p> Scleroderma is a rare condition in pediatrics although it ranks third (after juvenile idiopathic arthritis and systemic lupus erythematosus) among rheumatic diseases in children. Congenital scleroderma is considered casuistic since only single case reports are available in publications worldwide. The etiology of congenital scleroderma remains elusive. The principal pathogenic mechanisms are vascular network impairment, immune system dysfunction with abnormal regulation of cytokine release and altered collagen synthesis with fibroblast proliferation and fibrosis. This paper describes a newborn girl with congenital localized nodular scleroderma whose clinical presentations were detected at birth. The authors discuss difficulties with the diagnosis based on clinical and routine lab and instrumental tests. The role of modern morphological studies (given the lack of specific lab tests) to diagnose scleroderma in a newborn is emphasized. Finally, this paper provides a brief&nbsp; review of published data on congenital scleroderma. </p> <p> <b>Keywords: </b>congenital scleroderma, children, diagnostics, differential diagnosis, morphological studies. </p> <p> <b>For citation:</b> Akhmina N.I., Utkin P.S., Shalatonin M.P. et al. Localized scleroderma in a newborn (case report). Russian Journal of Woman and Child Health. 2022;5(2):169–172 (in Russ.). DOI: 10.32364/2618-8430-2022-5-2-169-172. </p>
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spelling doaj.art-88dd0625540647289d1eaeb1ff1357772024-02-26T10:13:33ZrusLCC «Medicine-Inform»РМЖ. Мать и дитя2618-84302686-71842022-05-015233595Localized scleroderma in a newborn (case report)N.I. Akhmina0P.S. Utkin1M.P. Shalatonin2Zh.L. Chabaidze3A.A. Dementiev4A.L. Zaplatnikov5Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<p> N.I. Akhmina<sup>1</sup>, P.S. Utkin<sup>2</sup>, M.P. Shalatonin<sup>3</sup>, Zh.L. Chabaidze<sup>1</sup>, A.A. Dement’ev<sup>1</sup>, A.L. Zaplatnikov<sup>1</sup> </p> <p> <sup>1</sup>Russian Medical Academy of Continuous Professional Education, Moscow,&nbsp; </p> <p> &nbsp;Russian Federation </p> <p> <sup>2</sup>Children’s Infectious Clinical Hospital No. 6, Moscow, Russian Federation </p> <p> <sup>3</sup>Morozov Children’s City Clinical Hospital, Moscow, Russian Federation </p> <p> Scleroderma is a rare condition in pediatrics although it ranks third (after juvenile idiopathic arthritis and systemic lupus erythematosus) among rheumatic diseases in children. Congenital scleroderma is considered casuistic since only single case reports are available in publications worldwide. The etiology of congenital scleroderma remains elusive. The principal pathogenic mechanisms are vascular network impairment, immune system dysfunction with abnormal regulation of cytokine release and altered collagen synthesis with fibroblast proliferation and fibrosis. This paper describes a newborn girl with congenital localized nodular scleroderma whose clinical presentations were detected at birth. The authors discuss difficulties with the diagnosis based on clinical and routine lab and instrumental tests. The role of modern morphological studies (given the lack of specific lab tests) to diagnose scleroderma in a newborn is emphasized. Finally, this paper provides a brief&nbsp; review of published data on congenital scleroderma. </p> <p> <b>Keywords: </b>congenital scleroderma, children, diagnostics, differential diagnosis, morphological studies. </p> <p> <b>For citation:</b> Akhmina N.I., Utkin P.S., Shalatonin M.P. et al. Localized scleroderma in a newborn (case report). Russian Journal of Woman and Child Health. 2022;5(2):169–172 (in Russ.). DOI: 10.32364/2618-8430-2022-5-2-169-172. </p>http://wchjournal.com/upload/iblock/d00/d006bca45b8eafed64b29f0013bf3fe1.pdf
spellingShingle N.I. Akhmina
P.S. Utkin
M.P. Shalatonin
Zh.L. Chabaidze
A.A. Dementiev
A.L. Zaplatnikov
Localized scleroderma in a newborn (case report)
РМЖ. Мать и дитя
title Localized scleroderma in a newborn (case report)
title_full Localized scleroderma in a newborn (case report)
title_fullStr Localized scleroderma in a newborn (case report)
title_full_unstemmed Localized scleroderma in a newborn (case report)
title_short Localized scleroderma in a newborn (case report)
title_sort localized scleroderma in a newborn case report
url http://wchjournal.com/upload/iblock/d00/d006bca45b8eafed64b29f0013bf3fe1.pdf
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AT aadementiev localizedsclerodermainanewborncasereport
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