A case of localized scleroderma in a sculptor and his wife.

The etiology of localized scleroderma is unknown, and its pathogenetic relationship to its systemic counterpart is unclear. Environmental exposures, notably to silica dust, have long been suspected in the pathogenesis of the disorder. However, its relationship to the localized variant has not been well described. Here we present 2 cases of localized scleroderma in a sculptor and his wife who have extensive exposure to silica dust.