Ribbon scleroderma, skin damage along the intercostal or zonal distribution of a limb, or occur in the forehead was knifed shape, concave limiting distribution strip, eyebrows off. Scalp hair on the forehead may be extended to the front, as well as lead facial hemiatrophy. Ribbon scleroderma often involving the shallow and deep subcutaneous fat, muscle, fascia or bone, demineralized bones, osteoporosis, absorption, resulting in severe deformity, growth and development of children especially. Lesions in the elbow, wrist, when knuckles, make joint activity limitation, or limb contracture deformity was Arcuate, mostly in children and adolescent onset. Hair on the scalp: early, showed patchy scalp hard (minority not hard) hair loss, skin tight hard bright (some patients only atrophy), picked by hand is difficult, local flushing, usually no discomfort, with the condition development, local shrink, expand the area of the lesion can be seen in various parts of the scalp, and downward development, resulting in facial hemiatrophy; may be developed to the neck and other body parts. Hair on the forehead: Early distribution of the affected area was strip, the affected area can be presented or vitiligo, lichen-like shape, without a hard, rough surface, bright accompanied by atrophy; or leather hard, bright, pigmentation. With the progression of the disease and lesion area expanded, shrunk deeper level. The disease is usually no symptoms, some may be mild itching or tingling sensation, perception gradually slow, no obvious symptoms, localized scleroderma generally do not infringe internal organs. It is not associated with changes in visceral damage and serology. |