What Is The Best Treatment For Linear Scleroderma Of The Chin?
Q: Dr. Eppley, I have linear scleroderma of the chin. I have been seen by rheumatologists and dermatologists who recommended methotrexate or a biopsy; neither of which I was keen on. I believe I’ve had this since I was about 15, perhaps younger. I’m currently 19 years old. I was wondering what you would recommend for me? HLA fillers (temporary or permanent) or something else? I would love to be in a case study receiving treatment.
A: Thank you for your inquiry and sending your pictures. Assuming your linear scleroderma deformity is stable there would be no indication for pharmacologic intervention or for a biopsy. While there is certainly nothing wrong with the use of synthetic injectable fillers, they would not be a cost-effective long term solution. I would recommend the following two options of either external fat injections or the intraoral placement of a dermal-fat graft for contour restoration of your chin.
Dr. Barry Eppley