scholarly journals Patient with Linear Scleroderma “En Coup De Sabre” – Nano Lipofilling Followed by Hair Transplantation

2021 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Rapid Growth ◽  
Localized Scleroderma ◽  
Hair Transplantation ◽  
Affected Area ◽  
Aesthetic Result ◽  
Linear Scleroderma

Linear scleroderma, also known as “en coup de sabre”, is a subtype of localized scleroderma. It develops in the area of the forehead and hairy part of the head, causing alopecia of the affected area (Figure 1). The applied aesthetic correction involves filling the defect on the forehead and capillitium with nano lipofilling, which is followed two months later by performing FUE hair transplantation (Figure. 2, 4). The combination of these procedures allows simultaneous filling of the hypotrophic scar, as well as a more secure and rapid growth of the hair grafts. Thus, a good, long-lasting and patientsatisfying aesthetic result is achieved.

Treatment of Linear Scleroderma (en Coup de Sabre) With Dermal Fat Grafting

2015 ◽  
Vol 20 (3) ◽  
pp. 269-271 ◽  
Author(s):  
Ensar Zafer Barin ◽  
Hakan Cinal ◽  
Mehmet Akif Cakmak ◽  
Onder Tan
Keyword(s):  
Donor Site ◽  
Cost Effective ◽  
Late Complications ◽  
Fat Grafting ◽  
Fat Graft ◽  
Localized Scleroderma ◽  
Aesthetic Result ◽  
Linear Scleroderma ◽  
Depressed Scar ◽  
Effective Option

Background: Linear scleroderma, also known as “ en coup de sabre,” is a subtype of localized scleroderma that warrants aesthetic correction because it appears on the forehead region in children. Objective: To report dermal fat grafting as a novel and effective surgical treatment option in linear scleroderma. Methods: Under local anesthesia, a dermal fat graft was successfully placed into a subcutaneous pocket that was prepared underneath the depressed scar. The donor site was closed primarily. Results: No early or late complications developed postoperatively. After 1-year follow-up, the dermal fat graft was viable, the depressed scar was adequately augmented, and a good aesthetic result and patient satisfaction were obtained. Conclusion: We believe that dermal fat grafting is a cost-effective option and provides a long-lasting aesthetic outcome in the management of linear scleroderma.

scholarly journals Successful Treatment of Hemifacial Myokymia and Dystonia Associated to Linear Scleroderma “En Coup de Sabre” with Repeated Botox Injections

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Carlos A. Cañas ◽  
Jorge L. Orozco ◽  
Andrea Caicedo Paredes ◽  
Fabio Bonilla-Abadía
Keyword(s):  
Masseter Muscle ◽  
Cerebral Atrophy ◽  
White Matter Lesions ◽  
Localized Scleroderma ◽  
Neurological Manifestations ◽  
Linear Scleroderma ◽  
Remarkable Improvement ◽  
Abnormal Movements ◽  
Sclerotic Lesions ◽  
Ct Studies

Linear scleroderma “en coup de sabre” (LSCS) is a form of localized scleroderma presents as band-like sclerotic lesions of the frontoparietal area. It has been reported in association with diverse neurological manifestations like seizures, migraine, neuromyotonia, dystonia and abnormalities in MRI and CT studies as cerebral atrophy, white matter lesions, intraparenchymal calcification, meningeocortical alterations, and skull atrophy. We describe a patient with LSCS associated with two abnormal movements: permanent myokimia of right masseter muscle and recurrent spasmodic retraction of right cigomatic and depressor labii inferioris muscles. He was initially treated with methotrexate and steroids without response, so later on he underwent repeated Botox injections with remarkable improvement.

scholarly journals Determination of follicular direction and preparation of micrograft holes for hair transplantation

2019 ◽  
Vol 147 (7-8) ◽  
pp. 439-442
Author(s):  
Milan Jovanovic ◽  
Biljana Certic ◽  
Lukas Rasulic
Keyword(s):  
Hair Growth ◽  
Operating Time ◽  
Aesthetic Surgery ◽  
Needle Insertion ◽  
Growth Direction ◽  
Hair Transplantation ◽  
Natural Hair ◽  
Aesthetic Result ◽  
Facial Shape

Introduction/Objective. Hair transplantation is one of the fastest evolving procedures in aesthetic surgery and is accompanied by continuous improvement of new techniques. Hairline planning is one of the most important steps in hair transplantation. The shape of the hair also varies depending on the variation of facial shape so it is very important when determining hair direction and making holes for future grafts. Methods. We used ordinary 18 gauge injection needles whose number was the same as the number of micrographs we planned for transplantation. Needles are administered in pile growth direction and angle, starting from the first row, and then proceeding to the second one and so on, until we insert all prepared needles. We insert them one in front of the other with a precision ease for future follicles. Results. In all 56 patients, we obtained natural hair growth. Inserting the needles reduced bleeding and the average time of the operation was three hours. The success of grafting was 95%. We only had one infection in one patient. Hair growth corresponded to the needle insertion. After a year of transplantation at the last control, the patient?s satisfaction was 100%. Conclusion. By using the same number of needles as the number of grafts we reduced operating time, we had a better determination of the direction of hair growth, we can prevent follicular extraction that can be caused by new needle insertion, and this technique achieved a good aesthetic result.

scholarly journals Epidemiologi ved sklerodermi hos barn

2009 ◽  
Vol 18 (1) ◽  
Author(s):  
Odd Vinje ◽  
Berit Flatø
Keyword(s):  
Heart Failure ◽  
Systemic Sclerosis ◽  
Normal Population ◽  
Localized Scleroderma ◽  
Age Group ◽  
Internal Organs ◽  
Cumulative Survival ◽  
Linear Scleroderma ◽  
Better Than ◽  
Age Of Death

<li>Localized scleroderma is an infrequent disease in children, but still ten times more frequent than systemic sclerosis. The incidence is probably 5-10/100,000 per year. The disease is classified into five subgroups. Paediatric rheumatologists report linear scleroderma as the most frequent subgroup whereas plaque morphea is found most frequently by dermatologists, linear scleroderma being in second place. The risk of transforming into systemic sclerosis is minimal. The mortality risk is not found increased compared with the normal population. Systemic sclerosis is the most infrequent systemic connective tissue disease in children, the incidence is less than 1/1,000,000 per year. The outcome in children is considered to be generally better than in adults. However, deaths is caused most frequently by heart failure with or without pulmonal hypertension, but also by renal or respiratory insuffiency, CNS disease and sepsis. Cumulative survival after 5, 10, 15 and 20 years of disease is reported to be 89%, 80%, 74% and 69%. For the age group less than 16 years the median age of death is reported to be 10.4 years, range 5 to 15 years. The disease in the children who die is often rapidly progressing with early involvement of internal organs. </li>

Standardizing the Nomenclature of Grafts

1996 ◽  
Vol 13 (3) ◽  
pp. 215-218 ◽  
Author(s):  
Barbara J. Schell ◽  
D. Bluford Stough ◽  
Bruce Nelson
Keyword(s):  
Rapid Growth ◽  
Scientific Discipline ◽  
Concomitant Increase ◽  
Nomenclature System ◽  
Aesthetic Result ◽  
Recent Advances ◽  
Pertinent Information

The field of hair restoration surgery has experienced rapid growth and advancement, which has enabled an unparalleled aesthetic result compared to years past. Unfortunately, many of the recent advances and refinements have contributed to a concomitant increase in confusion regarding terminology. We submit that in order to critically perform accurate studies as well as relay pertinent information regarding techniques and outcomes, a standardized nomenclature system must be adopted. Such a system is described herein and terms are defined in a simple and precise manner. A standardized nomenclature system will enable the discipline of hair restoration surgery to move forward more efficiently and effectively by validating the field as a scientific discipline.

scholarly journals Adult-onset en coup de sabre scleroderma in a patient with linear localized scleroderma profunda: A case report and literature review

2021 ◽  
Vol 9 ◽  
pp. 2050313X2199330
Author(s):  
Roxana Mititelu ◽  
Zainab Ridha ◽  
Lydia Ouchene ◽  
Elena Netchiporouk
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Adult Patient ◽  
Localized Scleroderma ◽  
Adult Onset ◽  
Unique Case ◽  
Oral Methotrexate ◽  
Linear Scleroderma ◽  
Oral Steroids ◽  
Linear Localized Scleroderma

The en coup de sabre variant of linear scleroderma typically occurs in children. We report a unique case of adult-onset en coup de sabre scleroderma in a patient with linear localized scleroderma profunda. The patient was treated with oral steroids and oral methotrexate improving her cutaneous disease. This case highlights the importance of a thorough cutaneous examination as this adult patient developed an entity traditionally believed to occur in childhood.

Removing Substrate Background in TEM Microanalysis

1974 ◽  
Vol 32 ◽  
pp. 568-569
Author(s):  
John C. Russ ◽  
Nicholas C. Barbi
Keyword(s):  
Electrical Conductivity ◽  
Rapid Growth ◽  
Organic Film ◽  
Absolute Concentration ◽  
Background Signal ◽  
X Ray ◽  
Elemental Concentrations ◽  
Transmission Electron ◽  
Electron Microscopes ◽  
The Continuum

The rapid growth of interest in attaching energy-dispersive x-ray analysis systems to transmission electron microscopes has centered largely on microanalysis of biological specimens. These are frequently either embedded in plastic or supported by an organic film, which is of great importance as regards stability under the beam since it provides thermal and electrical conductivity from the specimen to the grid.Unfortunately, the supporting medium also produces continuum x-radiation or Bremsstrahlung, which is added to the x-ray spectrum from the sample. It is not difficult to separate the characteristic peaks from the elements in the specimen from the total continuum background, but sometimes it is also necessary to separate the continuum due to the sample from that due to the support. For instance, it is possible to compute relative elemental concentrations in the sample, without standards, based on the relative net characteristic elemental intensities without regard to background; but to calculate absolute concentration, it is necessary to use the background signal itself as a measure of the total excited specimen mass.

Localized scleroderma

1970 ◽  
Vol 101 (6) ◽  
pp. 697-697
Author(s):  
R. Fleischmajer
Keyword(s):  
Localized Scleroderma
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