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Types of Scleroderma: Overview

Author: Shelley Ensz. Scleroderma is highly variable. See Types of Scleroderma. Read Disclaimer
Overview
Two Main Types: Localized and Systemic
Determining the Type
Juvenile Scleroderma
Localized (Morphea, Linear, En Coup)
Nodular Scleroderma
Systemic Sclerosis (Limited/CREST, Diffuse, Overlap)

Overview


Types of Scleroderma Video
Presented by Isabella Ensz

There are many methods used to categorize the various forms of scleroderma, which has brought about a confusing abundance of terms.

The following categories are often found in patient literature, but use and interpretation of these categories varies quite a bit. (Also see: What is Scleroderma?)

Two Main Types

There are two main types of scleroderma: Localized and Systemic.
The systemic forms can affect any part of the body (skin, blood vessels, and internal organs.) The systemic forms are also referred to as "systemic sclerosis" plus other terms such as diffuse, limited, CREST, and overlap.
The localized forms are morphea and linear. They affect only the skin (and sometimes the underlying tissues) but do not affect the internal organs, or reduce one's life expectancy in any way.
When any form of scleroderma (either localized or systemic) occurs in children, it is also called Childhood Scleroderma or Juvenile Scleroderma.

Determining the Type of Scleroderma

Profile of Pre-Scleroderma Evolution. All those patients who evolved to SSc presented the following at baseline: Raynaud's, positive anti-Scl-70 or anticentromere, sclerodactyly or visceral (esophageal) involvement and slow capillaroscopic pattern of scleroderma. E. Delgado. (THU0323) EULAR 2009.
The registry of the German Network for Systemic Scleroderma: frequency of disease subsets and patterns of organ involvement. In this nationwide register, a descriptive classification of patients with disease manifestations characteristic of SSc in five groups allows to include a broader spectrum of patients with features of SSc. Rheumatology 2008 47(8):1185-1192.

Juvenile Scleroderma

Juvenile Scleroderma. When any form of scleroderma (either localized or systemic) occurs in children, it is also called Childhood Scleroderma or Juvenile Scleroderma. ISN.
What is Juvenile Scleroderma?
Juvenile Scleroderma Books
Juvenile Scleroderma Experts
Juvenile Scleroderma Research
Prognosis
Coping with a Child's Illness
Patient and Caregiver Stories

Localized

Localized Scleroderma.There are two types of localized scleroderma: linear and morphea. Localized scleroderma affects the skin. It may also affect the underlying muscles and bones, but it does not affect internal organs, and it does not reduce a person's life expectancy. ISN.
Overview
Linear
Morphea
Linear/Morphea
Extracutaneous Symptoms
Patient and Caregiver Stories

Nodular Systemic Scleroderma

Nodular Scleroderma: Case Report and Literature Review. Nodular Systemic Sclerosis is a rare variant that presents with lesions that clinically resemble keloids. Most patients had symptoms of systemic sclerosis. J Rheumatol. Volume 30: No. 11 November 2003;30:2500-2. (Also see: Diseases Similar to Scleroderma)

Systemic Sclerosis (Systemic Scleroderma)

Systemic scleroderma is also known as systemic sclerosis (SSc). There are several types, Limited/CREST and Diffuse. These types can affect the entire body, including the skin, blood vessels, and/or internal organs. ISN.
Overview
Types of Systemic Scleroderma
Classification: Limited and Diffuse
CREST (old name for Limited)
Limited Systemic Sclerosis
Diffuse Systemic Sclerosis

Systemic Sclerosis: Prognosis and Mortality

Systemic Sclerosis (Scleroderma): Prognosis and Mortality. Now that the full range of types and severity of scleroderma are being recognized and diagnosed, there is increasing awareness that many people have a milder type of illness with a much rosier longterm prognosis. ISN.
Overview of Prognosis and Mortality
Antibodies
Biomarkers
Fear of Progression
Cardiac Involvement
Causes of Death
Lung Involvement
Nailfold Indicators
Prognostic Markers
Race/Ethnicity
Skin Thickness Progression
Symptoms of Systemic Scleroderma
Survival Rates

See Also

Juvenile Scleroderma by ISN.
Scleroderma Patient and Caregiver Stories by ISN.
 
Go to Localized: Linear Scleroderma
 
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