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Dermatology Online Journal

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Superficial morphea: case report, look-alikes, pathogenesis, and treatment


Superficial morphea, a rare variant of morphea, ischaracterized by hypopigmented to hyperpigmentedskin lesions located predominantly in a symmetricfashion at intertriginous sites. These patches andplaques typically lack the significant induration,contractures, and atrophy seen in other subtypesof morphea. Histologic examination is key foraccurate diagnosis considering the number of similarconditions which may clinically mimic superficialmorphea. Herein, we present a case of a 25-year-oldwoman who re-presented for consultation in ourclinic after gradual progression of her skin lesions. Inaddition, we review dermatologic look-alikes, as wellas the pathophysiology and treatment options forsuperficial morphea.

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