An unusual presentation of localized bullous morphea

Painful and oozing bullous lesions in a 74‐year‐old woman

“…As she was also suffering from genital lesions, and the areas on the hip and lower abdomen were painful and blistering, bullous LSA was considered a concomitant condition to the known morphea. The simultaneous presence of morphea and LSA is a well‐described phenomenon 4–6 . It has been shown that more than one‐third of patients with morphea also suffer from LSA (38%).…”

“…11 Recently, a coexistence of LSA and morphea in the same lesions have been described. 5 Some authors even consider both genital and extragenital LSA a superficial manifestation of morphea. 8 The exact pathogenesis of LSA is still unknown, but multiple aetiologies are believed to exist.…”

“…The simultaneous presence of morphea and LSA is a well-described phenomenon. [4][5][6] It has been shown that more than one-third of patients with morphea also suffer from LSA (38%). Among patients with plaque morphea, 45% have associated genital LSA.…”

“…Moreover, there are histological analogies between LSA and morphea, and LSA frequently occurs with subtypes of morphea 11 . Recently, a coexistence of LSA and morphea in the same lesions have been described 5 . Some authors even consider both genital and extragenital LSA a superficial manifestation of morphea 8 …”