TY  - JOUR
T1  - PIcture of the month
AU  - Iyer PU, Vaswani N, Feingold M
Y1  - 1989/11/01
N1  - 10.1001/archpedi.1989.02150230111037
JO  - American Journal of Diseases of Children
SP  - 1353
EP  - 1354
VL  - 143
IS  - 11
N2  - 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
SN  - 0002-922X
M3  - doi: 10.1001/archpedi.1989.02150230111037
UR  - http://dx.doi.org/10.1001/archpedi.1989.02150230111037
ER  -