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Vol. 218, No. 1, 2009
Issue release date: December 2008
Dermatology 2009;218:63–66

Nodular Morphea

Kauer F. · Simon J.C. · Sticherling M.
aDepartment of Dermatology and Venerology, Vivantes Klinikum Neukölln, Berlin, bDepartment of Dermatology, Venerology and Allergology, University of Leipzig, Leipzig, and cDepartment of Dermatology, Venerology and Allergology, University of Erlangen, Erlangen, Germany

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Scleroderma may present as being strictly limited to the skin, as in morphea, or within a multiorgan disease, as in systemic sclerosis. Accordingly, cutaneous manifestations vary clinically. In nodular or keloidal scleroderma, patients develop lesions that are clinically indistinguishable from a keloid; however, the histopathological findings are more variable. We describe a 16-year-old girl with morpheic lesions for 3–4 years and additional development of keloidal nodules within these lesions. The histological examination revealed a hypertrophic scar besides morphea.

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