title: [Morphea or juvenile localised scleroderma: Case report].
abstract: BACKGROUND
  Morphea or juvenile localised scleroderma (JLS) is an autoimmune, inflammatory, chronic, slowly progressive connective tissue disease of unknown cause that preferably affects skin and underlying tissues.
  
  
  OBJECTIVE
  To report a case of Juvenil Localised scleroderma in an 8-year old girl, contributing to an early diagnosis and treatment.
  
  
  METHODS
  The case is presented of an 8 year-old girl who presented with indurated hypopigmented plaques, of linear distribution in the right upper extremity of two years onset, together with papery texture hyperpigmented indurated plaques with whitish areas of thinned skin in right lower extremity, and leg and ankle swelling. The clinical features and diagnostic tests, including histology were compatible with linear and pansclerotic JLS. She started with immunosuppressive therapy, physiotherapy, and occupational therapy.
  
  
  CONCLUSIONS
  We report a case of linear and pansclerotic ELJ type, in which there was a 2 year delay in diagnosis, however the response to treatment was positive as expected.
authors.affiliation: Departamento de Pediatría, Universidad San Sebastián sede Puerto Montt, Puerto Montt, Chile. Electronic address: alexisstrickler@gmail.com.
authors.forename: Alexis
authors.initials: A
authors.lastname: Strickler
authors.affiliation: Departamento de Pediatría, Universidad San Sebastián sede Puerto Montt, Puerto Montt, Chile.
authors.forename: Silvanna
authors.initials: S
authors.lastname: Gallo
authors.affiliation: Dermatólogo, Clínica Universitaria Puerto Montt, Puerto Montt, Chile.
authors.forename: Pedro
authors.initials: P
authors.lastname: Jaramillo
authors.affiliation: Anatomía Patológica, Hospital Dr. Eduardo Schütz Schroeder, Puerto Montt, Chile.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: de Toro
mesh_terms: D002648:Child; D057210:Delayed Diagnosis; D018450:Disease Progression; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D009788:Occupational Therapy / Q000379:methods*; D026741:Physical Therapy Modalities; D012594:Scleroderma, Localized / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents
keywords: Autoimmune; Autoinmune; Esclerodermia localizada juvenil; Juvenile localised scleroderma; Morfea; Morphea