{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:56:03Z","timestamp":1790571363784,"version":"4.1.0"},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Stiff skin syndrome (\n                    <jats:styled-content style=\"fixed-case\">SSS<\/jats:styled-content>\n                    ) is a rare pediatric sclerosing disorder characterized by progressive fibrosis and mobility restriction. We report a 10\u2010year\u2010old girl with progressive skin induration whose diagnosis was supported by histopathology and high\u2010resolution skin ultrasound. Ultrasound demonstrated dermal thickening and prominent hypodermal fibrous septa, findings that correlated with the characteristic hypoinflammatory lattice arrangement seen on histology. This case highlights the diagnostic value of integrating advanced imaging and pathology to ensure accuracy and avoid treatment delays, particularly in resource\u2010limited settings where genetic testing is unavailable.\n                  <\/jats:p>","DOI":"10.1111\/pde.70241","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T08:20:33Z","timestamp":1776932433000},"page":"1212-1215","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stiff Skin Syndrome: A Diagnostic Challenge and the Role of Complementary Studies"],"prefix":"10.1111","volume":"43","author":[{"given":"Daniela","family":"Carvajal","sequence":"first","affiliation":[{"name":"Unidad de Dermatolog\u00eda Hospital Luis Calvo Mackenna  Santiago Chile"},{"name":"Departamento de Dermatolog\u00eda Cl\u00ednica Las Condes  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5954-2081","authenticated-orcid":false,"given":"Jorge","family":"Cort\u00ednez","sequence":"additional","affiliation":[{"name":"Centro de Salud Familiar R\u00edo Hurtado  R\u00edo Hurtado Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"issue":"6","key":"e_1_2_8_2_1","first-page":"1000","article-title":"Stiff Skin Syndrome","volume":"48","author":"Esterly N. B.","year":"1971","journal-title":"Pediatrics"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.5546\/aap.2020.e463"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1684\/ejd.2023.4477"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00403\u2010024\u201003090\u20101"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ced.14394"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adengl.2019.02.016"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.15459"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.15274"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.abd.2022.12.013"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.70241","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pde.70241","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.70241","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:25:13Z","timestamp":1790569513000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.70241"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,23]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/pde.70241"],"URL":"https:\/\/doi.org\/10.1111\/pde.70241","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,23]]},"assertion":[{"value":"2025-09-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}