A case of combination of two autoimmune diseases: type 1 diabetes mellitus and systemic scleroderma in a 13-year-old girl

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Abstract

Systemic scleroderma is an autoimmune disease of the connective tissue of unknown etiology. It is characterized by skin induration, lesions in the musculoskeletal system and the internal organs, and the Raynaud syndrome. An important component in pathogenesis of systemic scleroderma is disturbance of microcirculation involving endothelial proliferation and destruction, wall thickening and narrowing of the microvessel lumen, vasospasm, hemocyte aggregation, stasis, deformation and reduction of the capillary network (obliterating microangiopathy). Two main forms of the disease are distinguished: the diffuse and localized ones. The systemic nature of the diffuse form of systemic scleroderma is most obvious in the skin, but the digestive tract, respiratory organs, kidneys and the cardiovascular, endocrine, musculoskeletal and genitourinary systems are also affected. The incidence rate of systemic scleroderma is 6.3—12 cases per million population. Single case reports on scleroderma combined with other autoimmune diseases, including type 1 diabetes mellitus, in children and adolescents are available in literature. A rare case of a combination of two autoimmune diseases, type 1 diabetes mellitus and systemic scleroderma, in a 13-year-old girl is reported in this paper.

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About the authors

Elena V. Titovich

Endocrinology Research Centre

Author for correspondence.
Email: lenatitovich@mail.ru
ORCID iD: 0000-0001-7821-3979
SPIN-code: 7994-0797

MD, PhD

Russian Federation, 11, Dm. Ulyanova street, Moscow, 117036

Ekaterina A. Andrianova

Endocrinology Research Centre

Email: katandr13@list.ru
ORCID iD: 0000-0002-6611-8170
SPIN-code: 7496-4580

MD, PhD

Russian Federation, 11, Dm. Ulyanova street, Moscow, 117036

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1. Linear focus of deep atrophy of the skin and subcutaneous tissue, passing into the induration area, on the inner surface left hip and lower leg.

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Copyright (c) 2021 Titovich E.V., Andrianova E.A.

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