Morphea mimicking facial capillary malformations: Two new cases and review of the literature

Abstract

Morphea and facial capillary malformations (port‐wine stains) are distinct conditions that can affect the pediatric population. Early localized morphea mimicking a capillary malformation is an uncommon clinical presentation. We present two new cases of girls, aged 2 and 3 years, who presented with erythematous patches, initially diagnosed as capillary malformations, which were later diagnosed as morphea. We also performed a literature review, yielding 12 additional cases that underscore that the unusual presentation of morphea may delay correct diagnosis. Although early management of morphea reduces long‐term sequelae, it is important to delay laser treatment for selected acquired vascular malformations, until the diagnosis of morphea is excluded.

Update on lasers in pediatric dermatology: how primary care providers can help patients and families navigate appropriate treatment options and timelines

“…PDL can be helpful for telangiectasias as well as texture and pliability [44]. Case reports describing early localized morphea mimicking vascular lesions supports the need for diagnosis prior to treatment with laser [45].…”