Pearly-white patches reminiscent of juvenile morphea

Abstract

Morphea is a sclerotic condition limited to the skin corresponding to various clinical entities depending on the extension of the lesions, their linear nature, and their depth [1]. It is a relatively rare condition in children. Although almost never life-threatening, it may in some cases be responsible for functional and/or esthetic disability [2] with a major impact on quality of life, hence the importance of its early diagnosis and treatment. Herein, we report the case of juvenile morphea in plaques. A ten-year-old child with a history of the first-degree consanguinity of the parents and a family atopic condition presented with four oval, hyperpigmented plaques on the thorax with a pearly-white center (Fig. 1), which were sclerotic on palpation. Dermoscopy revealed an appearance resembling a white cloud (Fig. 2). The rest of the clinical examination was unremarkable. Raynaud’s phenomenon was absent, the genital tract was intact, and no visceral involvement was noted. A skin biopsy was performed confirming the diagnosis of morphea. The child was treated with dermocorticoids with good evolution.