Format

Send to

Choose Destination
Pediatrics. 2014 Dec;134(6):e1715-9. doi: 10.1542/peds.2014-0019. Epub 2014 Nov 17.

Headaches as a presenting symptom of linear morphea en coup de sabre.

Author information

1
Departments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois;
2
Department of Dermatology, University of Rochester School of Medicine, Rochester, New York; and.
3
Departments of Dermatology and Pediatrics, School of Medicine, University of California-San Francisco, San Francisco, California.
4
Departments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois; apaller@northwestern.edu.

Abstract

Linear morphea en coup de sabre (ECDS) is a form of localized scleroderma that predominantly affects the pediatric population, with a median age of 10 years at presentation. The existence of neurologic findings in association with ECDS has been well described in the literature. Here we describe 4 patients with ECDS who presented with headaches, which were typical migraines in 3 of the patients. The headaches preceded the onset of cutaneous findings by at least 6 months. Our patients' cases emphasize both the importance of recognizing headaches as a harbinger of ECDS and the necessity of performing thorough cutaneous examination in patients with unexplained headaches or other neurologic disease.

KEYWORDS:

children; female; humans; male; migraine headache; neurologic; scalp dermatoses/complications; scalp dermatoses/drug therapy; scalp dermatoses/pathology; scleroderma, localized/complications; scleroderma, localized/drug therapy; scleroderma, localized/pathology

PMID:
25404727
DOI:
10.1542/peds.2014-0019
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for HighWire
Loading ...
Support Center