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MORPHEA

Synonyms/subtypes: Localized scleroderma  Circumscribed scleroderma  Plaque-type morphea  Linear morphea – linear ­scleroderma  Morphea en coup de sabre – scleroderma en coup de sabre  Deep morphea – morphea profunda

Key features

„Asymmetric sclerotic plaques, usually 2–15 cm in diameter

„Active lesions can have a lilac border with central hypo- or dyspig- mentation, while inactive lesions often become hyperpigmented

„The sclerosis may extend deeply into the fat or underlying struc- tures (e.g. fascia, muscle, bone), causing disability

„With the exception of ocular or neurologic symptoms in patients with linear morphea of the head, associated systemic disease is not observed

„Often progresses for several years, then regresses; the linear subtype is usually persistent