Linear morphea of children: rehabilitation treatment and equipment taken through a case report and review of literature

Dr Karima BELHAJa, Dr Essohouna TCHOUNDAa, Dr Aziza NAIT KHACHATa, Prof Fatima LMIDMANIa, Prof Abdellatif EL FATIMIa

a Service de médecine physique et réadaptation-CHU IBN ROCHD

Introduction: linear scleroderma morphée is a subtype of localized scleroderma which mainly affects children and is sometimes complicated by bone and joint deformities. Its location at the foot is rarely reported.

Aim of study: describe the clinical and anatomical deformity of the foot and ankle in children with linear scleroderma and chat support, from a clinical case and a review of the literature.

Observation: an 8 years old boy followed for Linear morphea was adressed to the consultation of physical medicine and rehabilitation for rehabilitation care and casting of a deformation of the right foot. Physical examination found skin lesions in the thigh and right ankle, a paretic right lower limb, an inequality of length of 3 cm lower right limb, with stiffness in his right ankle. Walking is done with lameness and attack the forefoot, the review found podoscopic grade hollow legs 1 with calcaneal valgus more pronounced on the right.

The management consisted of a background treatment with corticosteroids, a functional rehabilitation and suitable equipment.

Discussion / Conclusion: Scleroderma focal length of the child's foot is a rare and can be associated with irreducible and scalable orthopedic deformities. Early diagnosis, extensive surgical release in the event of severe and progressive orthopedic deformation, followed by physiotherapy and extended equipment, represent the main elements of the management.

References :

  1. F. El Masri, I. Ghanem, K. Kharrat, F. Dagher.Sclérodermie linéaire et déformation du pied chez l’enfant.Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur, Volume 91, Issue 7, October 2005, Pages 682-686.
  2. Waafa Bono, Nicolas Dupin.Sclérodermies localisées ou morphées.La Presse Médicale, Volume 35, Issue 12, Part 2, December 2006, Pages 1923-1928

Keywords : linear morphea-strain-rehabilitation-equipment