ASPD Quiz Case 2

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ASPD Quiz Case 2

A 9-year–old boy presented to the clinic with complaints of dark brown plaques on his right abdomen and right thigh of eleven months duration. It had gradually progressed, hardened and resulted in painful and restriction of movement. There was no history of Raynaud’s phenomenon, dysphagia, myalgia, headache, or seizures.

1. What is your most likely diagnosis? *

1 point

Systemic sclerosis

Eosinophilic fasciitis

Morphea

Linear lupus erythematosus panniculitis

Psoriasisvulgaris

2. What clinical scores will you use for disease monitoring? *

1 point

Modified Rodnan scores

The Localised Scleroderma Assessment tool

Cutaneous LE Disease Area and Severity Index

Sistemic Lupus Erythematosus Disease Activity Index

Psoriasis Area and Severity Index

3.What treatment do you suggest for the patient if there is physical deformity and functional impairment? *

1 point

Topical corticosteroid

Topical calcipotriol

Methothrexate

Surgery

Psoralen NBUVB

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