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Calcinosis cutis arising in morphea: a case series
R Brockman1, A Wills, T M Greiling
1Department of Dermatology, Oregon Health and Science University, Portland, OR. brockmar@ohsu.edu.
Calcinosis cutis rarely occurs in morphea. Treatments like intralesional corticosteroids and methotrexate may halt disease progression, while surgery offers definitive removal but lacks long-term recurrence data.
Area of Science:
- Dermatology
- Rheumatology
Background:
- Calcinosis cutis is common in systemic sclerosis but rare in morphea.
- Limited data exists for managing morphea with calcinosis cutis.
Observation:
- Four patients with calcinosis cutis within morphea plaques were described.
- Treatments focused on inflammation and calcinosis/ulceration symptoms.
- Most treatments did not improve calcinosis.
Findings:
- Intralesional corticosteroids and systemic methotrexate showed promise in halting disease progression.
- Surgical excision is definitive for calcinosis in morphea plaques.
- Recurrence data post-surgery is lacking.
Implications:
- New treatment strategies may emerge for morphea with calcinosis cutis.
- Further research is needed on surgical outcomes and recurrence.
- Improved management guidelines are required for this rare condition.
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