title: Atypical cases of scleroderma en coup de sabre.
abstract: Scleroderma en coup de sabre typically presents with a cutaneous induration, but involvement of the underlying bone, eye, and brain is common. We report on 4 pediatric cases with atypical initial clinical presentations. All cases were seen at the University of California San Francisco. Patients 1 and 2 presented to the Pediatric Rheumatology Clinic with uveitis and orbital pseudotumor in December 2009 and March 2010, respectively. Patients 3 and 4 were mimicking acquired demyelinating disorders of the brain, acute demyelinating encephalomyelitis and multiple sclerosis, and were referred to the Pediatric Multiple Sclerosis center in 2008.
authors.affiliation: 1Pediatric Neurology, Klinikum rechts der Isar, Technische Universität, München, Munich, Germany.
authors.forename: Verena
authors.initials: V
authors.lastname: Kraus
authors.forename: Erica F
authors.initials: EF
authors.lastname: Lawson
authors.forename: Emily
authors.initials: E
authors.lastname: von Scheven
authors.forename: Tarik
authors.initials: T
authors.lastname: Tihan
authors.forename: Judith
authors.initials: J
authors.lastname: Garza
authors.forename: Rani G
authors.initials: RG
authors.lastname: Nathan
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Cordoro
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Waubant
mesh_terms: D000293:Adolescent; D002493:Central Nervous System Diseases / Q000150:complications* / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012594:Scleroderma, Localized / Q000150:complications* / Q000175:diagnosis*
keywords: acquired demyelinating disease; children; epilepsy; multiple sclerosis; scleroderma