November 1989, Vol 143, No. 11 >

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Article | November 1989

Picture of the Month

Paruathi U. Iyer, MBBS, MD; Neena Vaswani, MBBS, MD; Murray Feingold, MD

Am J Dis Child. 1989;143(11):1353-1354. doi:10.1001/archpedi.1989.02150230111037.

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Denouement and Discussion

Morphea

Manifestations Morphea, also called linear Scleroderma, is a form of scleroderma that has a patchy focal distribution. Initially, the lesions are slightly erythematous and edematous or may have an atrophic, shiny appearance. Subsequently, they appear as ivory-colored indurated plaques with violaceous borders. The lesions usually first appear on the trunk and spread to the limbs. Scarring and fibrosis occur, which can lead to contractures and apparent shortening of limbs.The disease may progress for years or arrest after several months of activity. In dark-skinned individuals, the scars may become hyperpigmented, and in others, the atrophic areas may become hypopigmented. Lesions on the scalp may produce cicatricial alopecia, and facial hemiatrophy occurs due to sclerosis of the facial muscles. Erosion of the underlying bone may also occur.Microscopic examination reveals sclerosis associated with varying degrees of inflammation involving the dermis and occasionally extending

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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BMJ 2010;341:c5893-c1494.

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Iyer PU, Vaswani N, Feingold M. Picture of the Month. Am J Dis Child. 1989;143(11):1353-1354. doi:10.1001/archpedi.1989.02150230111037.

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