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If you are going to add one giant powerhouse dermatology reference to your library, this is the one to own…. It is a superb comprehensive book. It is well organized and well written. It is a color atlas, it is a treatment reference, it explains current disease mechanisms, it is a guide for clinical diagnosis.
Only a board-certified dermatologist has these credentials. When a person has scleroderma, the body makes too much collagen. This excess collagen, the substance that holds our body together, causes hardening and tightening. Most people have hardening and tightening on their skin.
Joints, muscles, and even internal organs like the kidneys and lungs can harden and tighten. Where you have the hardening and tightening varies with the type of scleroderma you have. When scleroderma affects the skin and sometimes the underlying tissue, a person has localized scleroderma.
Morphea more-fee-uh : People see 1 or a few patches of thickened skin, which are usually red or purple. The patches can itch but are usually painless. Sometimes the excess collagen develops deep in the skin. In rare cases, morphea affects muscle. Gerneralized morphea: Patches of morphea can develop on different areas of the body. The patches can grow together. Some people see a band of thickening skin on an arm or leg. This type can go deep into the tissue beneath the skin.
Linear scleroderma: Often beginning in childhood or the teenage years, this type causes a line of thickening skin, usually on an arm or leg. The hardening can extend beyond the skin, going deep into to the muscle and sometimes the bone. En coup de sabre: A line of thickened skin forms on the scalp, face, or both, and the tissue beneath disappears.
A person with a mild case develops a bit of tissue loss. En coup de sabre can also be disfiguring. When scleroderma affects an internal organ, the person has a type of scleroderma called systemic sclerosis.
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