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2.
J Eur Acad Dermatol Venereol ; 31(10): 1581-1594, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28786499

ABSTRACT

The term 'sclerosing diseases of the skin' comprises specific dermatological entities which have fibrotic changes of the skin in common. These diseases mostly manifest in different clinical subtypes according to cutaneous and extracutaneous involvement and can sometimes be difficult to distinguish from each other. The present guideline focuses on characteristic clinical and histopathological features, diagnostic scores and the serum autoantibodies most useful for differential diagnosis. In addition, current strategies in the first- and advanced-line therapy of sclerosing skin diseases are addressed in detail. Part 2 of this guideline provides clinicians with an overview of the diagnosis and treatment of scleromyxedema, scleredema (of Buschke) and nephrogenic systemic sclerosis (nephrogenic fibrosing dermopathy).


Subject(s)
Nephrogenic Fibrosing Dermopathy/diagnosis , Nephrogenic Fibrosing Dermopathy/therapy , Scleredema Adultorum/diagnosis , Scleredema Adultorum/therapy , Scleromyxedema/diagnosis , Scleromyxedema/therapy , Diagnosis, Differential , Humans , Nephrogenic Fibrosing Dermopathy/pathology , Scleredema Adultorum/pathology , Scleromyxedema/pathology
3.
J Eur Acad Dermatol Venereol ; 31(9): 1401-1424, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28792092

ABSTRACT

The term 'sclerosing diseases of the skin' comprises specific dermatological entities, which have fibrotic changes of the skin in common. These diseases mostly manifest in different clinical subtypes according to cutaneous and extracutaneous involvement and can sometimes be difficult to distinguish from each other. The present guideline focuses on characteristic clinical and histopathological features, diagnostic scores and the serum autoantibodies most useful for differential diagnosis. In addition, current strategies in the first- and advanced-line therapy of sclerosing skin diseases are addressed in detail. Part 1 of this guideline provides clinicians with an overview of the diagnosis and treatment of localized scleroderma (morphea), and systemic sclerosis including overlap syndromes of systemic sclerosis with diseases of the rheumatological spectrum.


Subject(s)
Scleroderma, Localized , Scleroderma, Systemic , Undifferentiated Connective Tissue Diseases , Humans , Diagnosis, Differential , Europe , Physical Examination , Prognosis , Scleroderma, Localized/diagnosis , Scleroderma, Localized/pathology , Scleroderma, Localized/therapy , Scleroderma, Systemic/diagnosis , Scleroderma, Systemic/pathology , Scleroderma, Systemic/therapy , Undifferentiated Connective Tissue Diseases/diagnosis , Undifferentiated Connective Tissue Diseases/pathology , Undifferentiated Connective Tissue Diseases/therapy
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