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Morphea or Localized Scleroderma Morphea refers to a bunch of disorders with pores and skin and subdermal connective tissue adjustments as a result of extreme accumulation of collagen Circumscribed morphea o Includes type of superficial lesions beforehand generally known as �plaque� morphea o May involves superficial and deep dermis as well as subcutaneous tissues o Typically firm, ivory-coloured oval lesions surrounded by reddish-lilac colored ring suggesting active inflammation o Later, there's atrophy, hyperpigmentation and softening over time Generalized morphea o When individual circumscribed lesions become confluent or have an effect on fi3 anatomic websites Linear scleroderma o Most widespread kind in youngsters and adolescents o Characterized by fi 1 linear streaks (typically following dermatomal distribution) extending over an upper or lower extremity o Unilateral in > eighty five% circumstances o May prolong over joints, limiting vary of movement o En coup de sabre > linear lesion involving face or scalp, often brow o Parry-Romberg syndrome > progressive hemi-facial atrophy, more disfiguring o Both forms of facial linear scleroderma could also be related to intracranial lesions, seizures, uveitis, and dental abnormalities Pansclerotic morphea o Least common subtype, but most disabling o Circumferential adjustments (often affecting a limb) that extend into tissues beneath dermis including muscle, tendon and bone o Frequently spares the fingers and toes Mixed morphea o Morphea of fi 2 subtypes in an individual patient Treatment options: o Topical: emollients, corticosteroids, Calcipotriene (vitamin D) o Systemic: corticosteroids, Methotrexate, Mycophenolate mofetil, Cyclosporine o Other: Psoralen with Ultraviolet A radiation remedy References: 1. 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