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Localized Seleroderma and Borrelia Antibody Seroconversion

Discussion Localized sclerodertna is comprised of two major types: morphea and linear scleroderma. The two types may coexist in the same patient. Kleiner-Baumgarten et al.' in 1989 described a patient suffering from the simultaneous occurrence of linear scleroderma and SLE. Their literature survey revealed eight similar reports of localized scleroderma and SI.H. In two of these, morphea was the sole cutaneous manifestation, a finding which was similar to our patient. In addition, only four of the eight case reports fulfilled the revised criteria of the American Rheumatism Association for SLE. In none of the above eight reports was the SLE familial. The case described is unique due to the rare coexistence of localized scleroderma and familial SLE. Itzchak Shelkovitz-Shiloh, M.D. Michael Ehrenfeld, M.D. Miriam Schewach-Millet, M.D. Abraham Feinstein, M.D. (deceased) Tel Aviv, Israel