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Disabling pansclerotic morphoea of childhood
Indirakshi Jamalpur1, Harikrishna Reddy Mogili2, Abhilash Koratala3
1Department of Dermatology, Kurnool Medical College, Kurnool, Andhra Pradesh, India.
Insights
Disabling pansclerotic morphoea (DPM) is a severe childhood skin condition causing joint contractures and immobility. This case highlights its rare diagnosis in a 15-year-old girl with limb deformities.
Area of Science:
- Dermatology
- Pediatrics
- Rheumatology
Background:
- Disabling pansclerotic morphoea (DPM) is a severe variant of deep morphoea, typically affecting children.
- It leads to progressive morbidity, including joint contractures and immobility, with potential fatal complications like sepsis and cardiopulmonary involvement.
- DPM is rarely diagnosed in adults.
Abstract:
Disabling pansclerotic morphoea (DPM) of childhood is a severe and often fatal variant of deep morphoea. It usually starts in childhood and rarely seen in adults. The course of the disease is progressive with lifelong morbidity in the form of joint contractures and immobility. The causes of mortality include complications such as sepsis, gangrene and cardiopulmonary involvement. Herein, we discuss the case of a 15-year-old girl with limb deformity and finger contractures, that is, bone involvement. The diagnosis of DPM of childhood was fortuitously made after the correction of limb deformity, when the patient was seen in the dermatology department for evaluation of skin discolouration on the thighs.
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