“…Almost all patients had suffered from classic scleroderma for months [11,19] or years [10,12,13,15,24,25,29] before the onset of the keloidal lesions, these being either localized or generalized morphea lesions [6,7,9,[23][24][25][26][27][28][29][30][31][32][33] or systemic sclerosis [4,5,8,[10][11][12][13][14][15][16][17]. However, in 4 cases the keloidal lesions were the only manifestation of a putative underlying scleroderma [6,7,27,32]; in 2 cases the type of associated scleroderma is not known because we have been unable to consult the original or related reports [18,21], while another 2 cases have subsequently been considered as possible scleromyxoedemas, despite the original diagnosis of keloidal scleroderma [22,34].…”