Localized Scleroderma

Wasting Tongue

Localized scleroderma morphea or linear scleroderma involves the skin and subcutaneous tissue in one area, although there may be involvement of other organ systems. Presentation tends to be indolent, starting with superficial erythema of the skin that gradually spreads. There may be central clearing with a lilac ring appearance. With time, there is hardening of the skin or subdermal structures, leading to an ivory-like appearance of the tissue 95 . Loss of hair and anhydrosis is common along...

Impact Of Chronic Rheumatic Disease On Growth And Development

Tanner Stages

The two main disturbances of growth and pubertal development seen in young people with chronic rheumatic disease are growth failure and Table 1 Average Age of Pubertal Development Table 1 Average Age of Pubertal Development Abbreviations B, breasts G, penis and scrotum O, testes volume as per orchidometer P, pubic hair. Abbreviations B, breasts G, penis and scrotum O, testes volume as per orchidometer P, pubic hair. pubertal delay. Young people with such conditions may experience either...

Medial Epicondyle Apophysitis Little League Elbow

Apophysitis

Little league elbow, seen in throwers aged 8 to 14 years, especially pitchers and catchers, is an overuse injury to the fusing medial epicondyle apophysis from repetitive throwing. During the acceleration phase of pitching or the pull through during swimming a large valgus stress is placed on the medial elbow. Athletes typically present with medial elbow pain during throwing and sometimes at rest. Weakness and pain are present with resisted wrist flexion and pronation. The athlete has pain with...