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Image Number 938 (Morphea)


Diagnosis: Morphea

Site: Trunk

Sex: F

Age: 20

Type: Clinical

Description: Hyperpigmented oval plaques

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


Morphoea is a localized form of scleroderma with hard, smooth, ivory-coloured, indurated, immobile plaques and give the appearance of hidebound skin but no internal sclerosis. Many plaques are surrounded by a violaceous halo. There are many clinical variants of morphea (guttate, linear, localized, generalized, profunda and pansclerotic). Localized morphea is twice common in women as in men. It occurs in childhood as well as in adult life. The trunk is the most common site involved. Its prognosis is usually good, and the fibrosis slowly clears leaving slight depression and hyperpigmentation. The case depicted here has many resoluting plaques of morphea leaving slightly depressed hyperpigmented areas mainly on the trunk and forearms.

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