Keloidal Morphea: A Unique Variant of Morphea Presenting in a Black Female

Keloidal morphea is a rare variant of cutaneous scleroderma that presents with keloid-like plaques and nodules that occur most commonly on the neck, trunk, and proximal extremities. They occur in the absence of trauma or injury. Keloidal morphea most often manifests in patients with skin of color and may be mistaken for keloids and/or hypertrophic scars. This report presents a case of keloidal morphea in a young Black female. While effective therapies are limited, timely diagnosis can initiate the evaluation for systemic sclerosis and other systemic organ involvement. Increased awareness and recognition of keloidal morphea can help prevent dermatologic health disparities, which disproportionately occur in patients of color. J Drugs Dermatol. 2025;24(2):203-204. doi:10.36849/JDD.7960.