Juvenile diabetes and systemic sclerosis: just a coincidence?

Abstract Background Limited joint mobility (LJM), previously known as cheiroarthropathy, refers to the presence of reduced extension at the finger joints in people with diabetes and may be associated with scleroderma-like syndromes such as diabetic sclerodactyly. While scleroderma-like syndromes and...

Full description

Saved in:
Bibliographic Details
Main Authors: Greta Mastrangelo (Author), Alessandra Meneghel (Author), Giorgia Martini (Author), Carlo Moretti (Author), Francesco Zulian (Author)
Format: Book
Published: BMC, 2022-09-01T00:00:00Z.
Subjects:
Online Access:Connect to this object online.
Tags: Add Tag
No Tags, Be the first to tag this record!

MARC

LEADER 00000 am a22000003u 4500
001 doaj_2d62054d9f4844c4b15fae8e3a56c0c6
042 |a dc 
100 1 0 |a Greta Mastrangelo  |e author 
700 1 0 |a Alessandra Meneghel  |e author 
700 1 0 |a Giorgia Martini  |e author 
700 1 0 |a Carlo Moretti  |e author 
700 1 0 |a Francesco Zulian  |e author 
245 0 0 |a Juvenile diabetes and systemic sclerosis: just a coincidence? 
260 |b BMC,   |c 2022-09-01T00:00:00Z. 
500 |a 10.1186/s12969-022-00741-3 
500 |a 1546-0096 
520 |a Abstract Background Limited joint mobility (LJM), previously known as cheiroarthropathy, refers to the presence of reduced extension at the finger joints in people with diabetes and may be associated with scleroderma-like syndromes such as diabetic sclerodactyly. While scleroderma-like syndromes and LJM have been observed in patients with long-term diabetes and associated complications, the coexistence of diabetes with Juvenile systemic sclerosis (jSSc) is rarely described. Case presentation We describe the case of a 14-year-old boy with long-lasting type 1 diabetes (T1D) and suspected LJM associated with Raynaud phenomenon, sclerodactyly and tapering of the fingertips. A comprehensive work-up showed positive autoantibodies (ANA, anti-Ro-52, anti-Mi-2b), abnormal nailfold capillaroscopy with a scleroderma pattern, interstitial lung disease and cardiac involvement. The overall clinical picture was consistent with the diagnosis of jSSc. Conclusions LJM can be the initial sign of underlying systemic sclerosis. Nailfold capillaroscopy may help differentiate jSSc from classical LJM in pediatric patients with T1D and finger contractures or skin induration of no clear origin. This case report provides a starting point for a novel hypothesis regarding the pathogenesis of jSSc. The association between T1D and jSSc may be more than a coincidence and could suggest a relationship between glucose metabolism, fibrosis and microangiopathy. 
546 |a EN 
690 |a Limited joint mobility 
690 |a Cheiroarthropathy 
690 |a Sclerodactyly 
690 |a Nailfold capillaroscopy 
690 |a Microangiopathy 
690 |a Dipeptidyl peptidase-4 
690 |a Pediatrics 
690 |a RJ1-570 
690 |a Diseases of the musculoskeletal system 
690 |a RC925-935 
655 7 |a article  |2 local 
786 0 |n Pediatric Rheumatology Online Journal, Vol 20, Iss 1, Pp 1-6 (2022) 
787 0 |n https://doi.org/10.1186/s12969-022-00741-3 
787 0 |n https://doaj.org/toc/1546-0096 
856 4 1 |u https://doaj.org/article/2d62054d9f4844c4b15fae8e3a56c0c6  |z Connect to this object online.