Collagenosis, Substitutive, Morphea, Scleroderma, Stiff Skin - DermAtlas

Contributor

Joseph Olivere, MD

Diagnosis

collagenosis, substitutive morphea scleroderma stiff skin

Body Site

abdomen

Age

9 years

Pigmentation

light

Organization

confluent

Color

skin color

Morphology

fibrosis (scar, increased collagen)

Pattern

symmetric generalized, disseminated

Comments

These histologic findings are most consistent with morphea.

Description

Histologic sections of the skin show thickening and sclerosis of the entire reticular dermis and dermal expansion. Diminution of adnexal structures is noted with only one eccrine unit being identified. The perieccrine fat is absent. A cellular proliferation is not noted, nor is a significant inflammatory component present. The overlying epidermis is relatively unremarkable. Focally the dermal alteration extends into a subcutaneous septum.

Image Added

7/21/2004 8:20:59

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PubMed Medline Plus Medscape

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