Generalized morphea with concurrent vitiligo in a four-year-old boy.
- Author:
Theresia Ira
;
Mendoza Clarisse G.
;
Senador Leilani R.
- Publication Type:Case Reports
- Keywords: Morphea; Generalized Morphea
- MeSH: Human; Male; Child Preschool; Arm; Atrophy; Cheek; Elbow; Elbow Joint; Incidence; Scleroderma, Localized; Scleroderma, Systemic; Skin; Vitiligo
- From: Journal of the Philippine Dermatological Society 2015;24(2):63-66
- CountryPhilippines
- Language:English
-
Abstract:
Morphea, a localized type of scleroderma, is a rare fibrosing disorder of the skin that presents with a variety of clinical manifestations such as linear morphea, plaque morphea, generalized morphea and other miscellaneous groups. It has an incidence rate of 0.4-2.7 cases per 100,000 people. Generalized morphea is defined as four or more plaques larger than 3cm, and/or involving of two or more anatomical sites. Among pediatric population, 5% of the cases present as generalized morphea. Concomitant vitiligo is found in in 7% of morphea cases. We report a case of generalized morphea in a four-year-old boy who presented with a one-year history of multiple, well-defined, indurated, annular, skin-colored to hyperpigmented plaques with central atrophy on the mid to lower back and left cheek. There was also concurrent two-year history of multiple ill-defined vitiliginous patches on the upper back, upper arms, and elbow.