There are several subtypes of juvenile scleroderma -- linear scleroderma, circumscribed morphea, generalized morphea, scleroderma en coup de sabre, and deeper lesions such as eosinophilic fasciitis. Your child’s pediatric rheumatologist may perform one or more of the following tests to diagnose the type of scleroderma affecting your child and to determine the most effective way to control the condition.
Localized scleroderma typically causes a skin rash that grows longer and/or deeper over time. It may affect one site or multiple sites on the body. It may result in long red, purple, or brown streaks on the arms, legs, or torso. A physical exam of your child’s skin involvement will help to diagnose the type of juvenile localized scleroderma affecting your child. We will also look for related conditions, such as arthritis or inflammation in the eye.
Blood work will be performed to look for autoantibodies, evidence of muscle involvement, and indicators of disease activity.
A small sample of skin or underlying tissue may be removed and studied under the microscope to confirm the diagnosis.
CT, MRI, Ultrasound
Imaging tests help your doctor rule out infections or other problems. They also show whether the skin damage affects a joint, muscles, or bones. This can affect your child’s ability to move and function and may require more aggressive treatment.