Juvenile Localised Scleroderma – Board-Style Questions

What this deck covers

Juvenile localised scleroderma in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. A band down the leg
2. The things she does not have
3. A result that worries the family
4. The edge, not the middle
5. More than a cream
6. Why the cream was never enough
7. One leg shorter
8. A dent in the hairline
9. Trouble under the surface
10. A long watch
11. White, but not the same
12. All the way round
13. Measuring what the eye cannot
14. Keeping the joint moving
15. The question the family fear most
16. A patch that needs less
17. Putting a number on it
18. What the younger one should know

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A congenital band of scar tissue that has been present since birth, Cold leaves her hands unchanged and the capillary loops are regular, It shows early kidney involvement and needs urgent renal referral, The size of the patch, which becomes fixed once the inflammation settles, Methotrexate, with a corticosteroid course while it takes effect, Creams are not licensed for children under six, Ordinary variation in leg length seen in most growing children, A sebaceous naevus, which thickens along the scalp with puberty, Brain involvement on the same side, causing fits and headache, Once two years have passed without change, relapse is impossible, Pityriasis versicolor, a superficial yeast that scales when scraped, Generalised disease, defined as four plaques in two body sites, Infrared thermography, which shows whether the plaque is still warm, Complete rest of the ankle in a below-knee cast for three months.

Clinical pearls from this deck

• A hardened band down a limb: linear disease.
• No Raynaud, no sclerodactyly: the skin only.
• A positive antibody here predicts nothing at all.
• Judge activity at the edge, never the centre.
• Across a joint means systemic treatment, not creams.
• It reaches fat, muscle and bone, not just skin.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all rheumatology and immunology case decks · pediatric reference values.