They can alter the way you look as well, and that means dermatologists can be on the front lines of diagnosing many of these conditions. Here are some of the most common autoimmune diseases that have physical symptoms and how you can treat them.
Synopsis statement Pediatric scleroderma includes two major groups of clinical entities, systemic sclerosis SSc and localized scleroderma LS. Although both share a common pathophysiology, with an initial inflammatory phase associated with endothelial activation, and a later fibrotic phase evidenced by collagenization of tissue and appreciable skin thickness, their clinical manifestations differ.
LS is typically confined to the skin and underlying subcutis, and though not fatal like SSc, up to a quarter of the patients may have extracutaneous disease manifestations, such as arthritis and uveitis. Auto-antibody profiles in childhood onset SSc can assist in predicting internal organ involvement.
Treatment for both forms of scleroderma targets the active inflammatory stage and halts disease progression; however, progress still needs to be made towards the development of a more effective anti-fibrotic therapy to help reverse disease damage.
Systemic sclerosis SSccharacterized by skin, vascular and visceral organ fibrosis, which more commonly affects adults, and localized scleroderma LScharacterized by fibrosis of skin and underlying tissue without vascular or internal organ involvement, which more commonly affects children.
Though they share a common underlying pathophysiology of excessive collagen deposition in an autoimmune setting, these two entities are clinically different with unique morbidities and prognoses Fig 1.
Both are uncommon in children with the estimated annual incidence of LS being 1—3 perchildren [ 1 ] and SSc being 1 per million children [ 2 ].
The mean age of onset for both forms of pediatric scleroderma is between 7.
Unfortunately, there is significant delay in diagnosis, with an average 1. For the few cases of congenital involvement of LS, the mean time to diagnosis is longer, 3. The approximate female to male ratio of pediatric SSc is 4: There is no clear evidence for racial predilection for either form of pediatric scleroderma.The mean age of onset for both forms of pediatric scleroderma is between and years of age.
The most common disorders present were dermatologic autoimmune disease (psoriasis, vitiligo, alopecia 40% in those with LiScl of the head), Raynaud’s phenomenon (% of entire group) and other autoimmune conditions such as .
Common variable immunodeficiency (CVID) describes a heterogeneous subset of hypogammaglobulinemias of unknown etiology. Typically, patients present with recurrent bacterial infections of the respiratory and gastrointestinal tract.
A significant proportion of CVID patients develops additional autoimmune, inflammatory or lymphoproliferative . 1. Neurology Department, Academic Emergency Hospital, "Lucian Blaga" University Sibiu, Pompeiu Onofreiu St., , Sibiu, Romania.
In a case of BCS, MRI showed an onion-like lesion without contrast enhancement or diffusion restriction, and only a moderate increase in choline on MRS.
The lesion remained stable on follow-up. Autoimmune thyroid disease in patients with rheumatic diseases.
and clinical characteristics of autoimmune thyroiditis in other rheumatologic disorders, such as rheumatic fever and juvenile. Some autoimmune diseases affect more than your overall health. They can alter the way you look as well, and that means dermatologists can be on the front lines of diagnosing many of these conditions.