Rheumatology Advance Access originally published online on July 6, 2009
Rheumatology 2009 48(9):1172-1173; doi:10.1093/rheumatology/kep160
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Sarcoidosis or scleroderma? An unusual case of sarcoidosis in a 3-year-old Caucasian girl
1Rheumatology Unit, Great Ormond Street Hospital for Children NHS Trust, London, UK, 2Department of Paediatrics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong, 3Department of Rheumatology, The Children's Hospital at Westmead and 4Discipline of Paediatrics and Child Health, University of Sydney, Sydney, Australia
Correspondence to: Assunta C. H. Ho, Department of Paediatrics, 6/F, Clinical Science Building, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong. E-mail: assuntaho@cuhk.edu.hk
| The first 10% of the full text of this article appears below. |
SIR, A 3-year-old girl presented with generalized pain, stiffness and tightness of skin over 4 months. She was stiff, unable to walk or open and close her hands fully, became anorexic and her growth dropped significantly. She had no difficulties with swallowing or breathing, no RP or symptoms to suggest Mycobacterium infection.
On examination, her skin was shiny and indurated. She had sclerodactyly, livedo reticularis and her range of movement