Superficial morphea: 20‐year follow up in a patient with concomitant psoriasis vulgaris

Abstract

Superficial morphea, a newly described variant of morphea, manifests clinically with hypopigmented or hyperpigmented patches that lack induration. The lesions show on biopsy dermal sclerosis in the superficial to mid-reticular dermis. So far, all cases reported in the literature were skin limited. In this report, we describe a 24-year-old female patient who developed at the age of 4 years plaques characteristic, both clinically and histologically, of superficial morphea. The patient developed later on psoriasis vulgaris. Although the association of scleroderma and psoriasis is rarely reported in the literature, most reports describe a progressive systemic course of scleroderma whenever the two diseases co-exist. This is the first report to describe superficial morphea in association with psoriasis and to provide a 20-year follow-up period during which the superficial morphea remained relatively stable with no evidence of systemic involvement.

Clinicopathological study of 81 cases of localized and systemic scleroderma

“…Among the plaque‐type morphea cases, one case microscopically revealed sclerosis involving only the upper half of the dermis consistent with the diagnosis of superficial morphea (this case was previously reported by Saleh et al. ) 9 . The latter case had associated psoriasis vulgaris.…”

Evaluation of Acitretin in The Treatment of Multiple Recalcitrant Common Warts: a Pilot Study

“…Although relatively small, they usually become sclerotic and most commonly found in the neck and upper trunk [35]. The lesions are less than 10 mm in diameter, well circumscribed in white and surrounded by red-violaceous halos, without induration but tend to conglomerate and atrophy [36][37][38]. This type clinically resembles the lichen sclerosus et atrophicus [39].…”

Psoriasis and concomitant fibrosing disorders: Lichen sclerosus, morphea, and systemic sclerosis

“…1,2 Concomitant morphea and psoriasis is very rarely reported and only 4 individual cases have been described, 3 however, 1 study observed that psoriasis represented 11.6% of cases in which an autoimmune disease occurred concomitantly with morphea. An underlying immune dysfunction has been suggested as patients may have positive antinuclear antibodies and increased prevalence of concomitant autoimmune disorders.…”

“…An underlying immune dysfunction has been suggested as patients may have positive antinuclear antibodies and increased prevalence of concomitant autoimmune disorders. 3,5 To better elucidate the association of these fibrosing disorders with psoriasis, we conducted a chart review of all patients with concomitant fibrosing disorders and psoriasis seen between January 2000 and November 2011 at 2 large tertiary care hospitals in Boston, MA. Two separate population-based examinations of genital LSA noted an increased prevalence of psoriasis in patients with LSAe17.0% and 7.5%, respectivelyecompared with a 1.5% to 2.5% incidence in the general population.…”