Novel Insights from Clinical Practice

Romagnuolo M.a,b· Moltrasio C.a,c· Barbareschi M.a,b· Barberi F.a,b· Riva D.a,b· Di Benedetto A.a· Boggio F.d

Author affiliations

aDermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
bDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
cDepartment of Medical Surgical and Health Sciences, University of Trieste, Trieste, Italy
dPathology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

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Article / Publication Details

First-Page Preview

Received: April 20, 2022
Accepted: May 16, 2022
Published online: July 04, 2022

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

Abstract

Introduction: Morphea, also known as localized scleroderma, could affect the head and neck region, mainly manifesting in a linear pattern. Localized scleroderma of the scalp presenting as a circumscribed alopecic patch has been described as an unusual clinical entity. We present a new case of circumscribed morphea of the scalp. Case Report: We present the case of a 33-year-old man with a single cicatricial alopecic patch of the scalp. The main clinical, trichoscopic, and histopathological findings are described. Conclusion: We suggest considering scalp morphea in the differential diagnosis of mono-lesional cicatricial alopecia involving the scalp.

© 2022 S. Karger AG, Basel

References Laxer RM, Zulian F. Localized scleroderma. Curr Opin Rheumatol. 2006 Nov;18(6):606–13. Saceda-Corralo D, Nusbaum AG, Romanelli P, Miteva M. A case of circumscribed scalp morphea with perineural lymphocytes on pathology. Skin Appendage Disord. 2017 Oct;3(4):175–8. Asano Y, Ihn H, Tamaki K. An unusual manifestation of linear scleroderma “en coup de sabre” on the vertex and frontoparietal regions. Clin Exp Dermatol. 2007 Nov;32(6):758–9. Weibel L, Harper JI. Linear morphoea follows Blaschko’s lines. Br J Dermatol. 2008 Jul;159(1):175–81. Happle R, Assim A. The lines of Blaschko on the head and neck. J Am Acad Dermatol. 2001 Apr;44(4):612–5. Saceda-Corralo D, Tosti A. Trichoscopic features of linear morphea on the scalp. Skin Appendage Disord. 2018 Jan;4(1):31–3. Dhaliwal CA, MacKenzie AI, Biswas A. Perineural inflammation in morphea (localized scleroderma): systematic characterization of a poorly recognized but potentially useful histopathological feature. J Cutan Pathol. 2014 Jan;41(1):28–35. Goh C, Biswas A, Goldberg LJ. Alopecia with perineural lymphocytes: a clue to linear scleroderma en coup de sabre. J Cutan Pathol. 2012 May;39(5):518–20. Article / Publication Details

First-Page Preview

Received: April 20, 2022
Accepted: May 16, 2022
Published online: July 04, 2022

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

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