Morphea: A Case of Ignorance

Authors

  • Dr. Nilesh Rafaliya
  • Dr. Vishal Indurkar
  • Dr. Supriya Vikhe Patil
  • Dr. Ramesh M. Gosavi

Keywords:

Morphea, Scleroderma, Localised Scleroderma

Abstract

Morphea is a chronic autoimmune disease characterised by hardening (Skleros) of the skin (derma) also referred as localised scleroderma. It is great cause of morbidity, aesthetic disfigurement & psychological stress. We report a case of 11 year old male child who presented to dermatology out patient department with dark colored, shrunken skin lesion on right thigh since 6 to 8 months, initially ignored by parents and inspite of empirical treatment from general practitioner, lesion keeps on progressing so decided to seek specialist advice. The boy was diagnosed as case of linear morphea clinically and was confirmed by skin biopsy. Medical line of treatment was started and regular follow up was advised to evaluate the outcome. The purpose of this case report is to raise awareness about this disease among clinicians and also parents for early diagnosis and treatment.

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References

Martin Rocken & Kamran Ghoreschi. In: Jean L Bolognia, Joseph L Jorizzo, Ronald P Rapini editors. TB of Dermatology. 1st ed. Mosby Elsevier; 2003.p. 1503-08.

Stephanie Saxton-Daniels & Heidi T. Jacobe. Morphea. In: Lowell Goldsmith, Stephen Katz, Barbara Gilchrest, Amy Paller, David Leffell, Klaus Wolff editors. Fitzpatricks dermatology in general medicine. 8th ed. Mc Graw Hill Education; 2012.p. 692-01.

Christen –Zaech S, Hakim MD, Afsar FS, Paller AS. Pediatric Morphea (Localized Scleroderma): Review of 136 Patients. J Am Acad Dermatol. 2008;59(3):385-96.

Peterson LS, Nelson AM, Su WP. Classification of morphea (localized scleroderma) Mayo clin proc. 1995 Nov; 70: 1068-76.

Zulian F, Athreya BH, Laxer R, et al. for the Juvenile Scleroderma Working Group of the Pediatric Rheumatology European Society (PRES). Juvenile Localized Scleroderma: Clinical and Epidemiological Features in 750 Children. An International Study. Rheumatology. 2006;45:614-20.

Leitenberger JJ et al. distinct autoimmune syndrome in morphea: A review of 245 adult and pediatric cases. Arch dermatol 145:545;2009./

Mukhopadhyay A. linear scleroderma following Blaschko’s lines. IJDVL 2005 Nov- Dec;71:421-2.

Tuffanelli DL. Localised scleroderma. Semin Cutan Med Surg. 1998 Mar;17:27-33.

Greenberg AS, Falanga V: localized cutaneous sclerosis. In: Cutaneous Manifestations of Rheumatic Diseases, edited by RD Sontheimer, TT Provost. Baltimore, Williams & Wilkins, 1996.

Sehgal VN et al. Localized scleroderma/ morphea. Int J Dermatol 41:467, 2002

Vierra E, Cunningham BB: Morphea and localized scleroderma in children. Semin Cutan Med Surg 18:210, 1999

Marzano AV et al: Localized scleroderma in adults and children. Clinical and laboratory investigations on 239 cases. Eur J Dermatol 13:171, 2003

Wadud MA, Bose BK, Al NT: Familial localised scleroderma from Bangladesh: Two case reports. Bangladesh Med Res Counc Bull 15:15, 1989 10.

Rees RB, Bennett J: Localized scleroderma in father and daughter. AMA Arch Derm Syphilol 68:360, 1953.

S. Sacchidanand, Chetan Oberoi, Arun C Inamdar editors. IADVL TB of Dermatology 4th ed. India: Bhalani Publishing House. 2015.

Published

2016-03-14

How to Cite

Rafaliya, D. N., Indurkar, D. V., Vikhe Patil, D. S., & Gosavi, D. R. M. (2016). Morphea: A Case of Ignorance. VIMS Health Science Journal, 3(1), 23–24. Retrieved from https://vimshsj.edu.in/index.php/main/article/view/129

Issue

Section

Case Report

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