RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57682594
T1 Chapter 182. Scleroderma and Morphea
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57682594
RD 2024/10/06
AB A  35-year-old  woman  presented  with  areas  of  shiny  tough  skin  in  patches  over  her  abdomen  (Figure  182-1).  The  patient  was  otherwise  in  good  health  and  was  puzzled  by  this  new  condition.  She  feared  that  all  her  skin  would  become  this  way.  The  skin  was  slightly  uncomfortable  but  not  painful.  A  3-mm  punch  biopsy  confirmed  the  clinical  suspicion  of  morphea  or  localized  scleroderma.  The  patient  was  treated  with  topical  clobetasol  and  calcipotriol  with  some  improvement  in  skin  quality  and  symptoms.  An  antinuclear  antibody  (ANA)  test  was  positive,  but  she  has  not  developed  progressive  systemic  sclerosis.