RT Journal
A1 Iyer PU, Vaswani N, Feingold M
T1 PIcture of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD November 1
VO 143
IS 11
SP 1353
OP 1354
DO 10.1001/archpedi.1989.02150230111037
UL http://dx.doi.org/10.1001/archpedi.1989.02150230111037
AB 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