To the Editor: A 13-year-old African American girl presented with a history of several keloidal scars arising in areas of previously normal-appearing skin involving the face, neck, trunk, and lower and upper extremities. History of trauma, piercings, or acne was negative. The lesions arose spontaneously 23 months earlier, and were initially pruritic but currently asymptomatic. She was evaluated a few months before presentation by a rheumatologist who suspected a connective tissue disease based on a laboratory workup, started hydroxychloroquine sulfate, but did not diagnose scleroderma. Her medical history was significant for Raynaud phenomenon, positive antinuclear antibody titer of 1:1280 in a nucleolar pattern, negative antitopoisomerase I antibodies (anti-scleroderma 70 antibody), and a...MedWorm Sponsor Message: Please support the Doctors In Chains campaign for the medics tortured and sentenced for up to 15 years in Bahrain. #FreeDoctors read more..
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