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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

Romanian Journal of Morphology and Embryology = Revue Roumaine De Morphologie Et Embryologie
|September 3, 2010
PubMed
Summary
This summary is machine-generated.

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.

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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.