Publication: Reticulate hyperpigmentation in systemic sclerosis: a case report and review of the literature
Issued Date
2015
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eng
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Mahidol University
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BioMed Central
Bibliographic Citation
Journal of Medical Case Reports. Vol. 9, (2015), 219
Suggested Citation
Mati Chuamanochan, Haws, Andrea L., Penvadee Pattanaprichakul Reticulate hyperpigmentation in systemic sclerosis: a case report and review of the literature. Journal of Medical Case Reports. Vol. 9, (2015), 219. doi:10.1186/s13256-015-0697-2 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/2670
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Title
Reticulate hyperpigmentation in systemic sclerosis: a case report and review of the literature
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Abstract
Introduction: Systemic sclerosis is a systemic connective tissue disease with variable cutaneous presentations.
Although pigmentary disturbances have been described in systemic sclerosis, a reticulate hyperpigmentation has
only been reported in one case of systemic sclerosis to date.
Case presentation: We describe a previously healthy 51-year-old Thai woman who presented with a reticulate
hyperpigmentation affecting her trunk and extremities, together with sclerodactyly and proximal sclerosis, resulting
in a new diagnosis of systemic sclerosis.
Conclusions: To date, the pathogenesis of reticulate hyperpigmentation in systemic sclerosis remains unclear. Increased
melanin synthesis and altered thermoregulatory mechanism are proposed to be involved in the pathogenesis of this
presentation. This case represents an unusual cutaneous feature of reticulate hyperpigmentation in the setting of
systemic sclerosis.