Citation, DOI, disclosures and article data
Citation:
Gaillard F, Ibrahim D, Sharma R, et al. Linear scleroderma. Reference article, Radiopaedia.org (Accessed on 24 Apr 2024) https://doi.org/10.53347/rID-1585
Linear scleroderma, also known as scleroderma en coup de saber, is a very focal form of scleroderma classically characterized by a linear band of atrophy involving the frontal or frontoparietal scalp and subjacent thinned calvaria associated with ipsilateral focal brain abnormalities.
Linear scleroderma may coexist with progressive facial hemiatrophy (Parry-Romberg syndrome).
Radiographic features
In the brain beneath the skin lesion, focal atrophy and blurring of the gray-white matter interface can be identified, and calcification and cerebral microhemorrhages have been reported 1,5.
History and etymology
"En coup de saber" alludes to the appearance of a frontoparietal scar as if one had been struck by a saber (French for a heavy cavalry sword with a curved blade). Coup is French for a blow (as in a blow to the head) 4.
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1. Appenzeller S, Montenegro MA, Dertkigil SS, Sampaio-Barros PD, Marques-Neto JF, Samara AM, Andermann F, Cendes F. Neuroimaging findings in scleroderma en coup de sabre. (2004) Neurology. 62 (9): 1585-9. doi:10.1212/01.wnl.0000124518.25087.18 - Pubmed
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2. Katz KA. Frontal linear scleroderma (en coup de sabre). (2003) Dermatology online journal. 9 (4): 10. Pubmed
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3. Stone J, Franks AJ, Guthrie JA, Johnson MH. Scleroderma "en coup de sabre": pathological evidence of intracerebral inflammation. (2001) Journal of neurology, neurosurgery, and psychiatry. 70 (3): 382-5. doi:10.1136/jnnp.70.3.382 - Pubmed
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4. Brookes I. The Chambers Dictionary. (2018) ISBN: 9780550101853
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5. Legendre L, Cuinat L, Curot J, Tanchoux F, Bonneville F, Mazereeuw-Hautier J. Sclérodermie Linéaire De La Face Associée à Des Anomalies Neurologiques Par Microangiopathie. Ann Dermatol Venereol. 2016;143(12):831-5. doi:10.1016/j.annder.2016.02.032 - Pubmed
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