Plaque-type morphea in children
Ligia Stănescu1, Alina Vâlcea, Carmen Florina Popescu
1Department of Pediatry, Filantropia, University Hospital, University of Medicine and Pharmacy of Craiova, Romania. ligstanescu@yahoo.com
Summary
A rare case of plaque-type morphea in an 8-year-old girl presented with skin lesions. Treatment involving antibiotics, vitamins, and topical therapies led to favorable outcomes and lesion improvement.
Area of Science:
- Dermatology
- Pediatric Dermatology
- Rheumatology
Background:
- Morphea, a rare connective tissue disease, can manifest in various forms, including plaque-type.
- Early diagnosis and comprehensive treatment are crucial for managing pediatric morphea and preventing complications.
Observation:
- An 8-year-old girl presented with a 12 cm oval, hard plaque on her right buttock.
- The patient had a history of acrocyanosis and recurrent beta-hemolytic streptococcus respiratory infections.
Findings:
- Biopsy confirmed plaque-type morphea with epidermal atrophy, dermal collagen proliferation, and lymphocytic infiltrate extending to the hypodermis.
- Histopathological examination revealed characteristic features of localized scleroderma.
Implications:
- This case highlights the importance of considering morphea in pediatric patients with unusual skin lesions.
- A multimodal treatment approach, including antibiotics, vitamin E, topical corticosteroids, vitamin D3 analogues, and healing adjuvants, can effectively manage plaque-type morphea.
- Prompt treatment resulted in significant improvement, increased skin elasticity, and resolution of lesion contours.
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