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- $Unique_ID{BRK02027}
- $Pretitle{}
- $Title{Diagnosis and Treatment of Morphea}
- $Subject{Morphea dermatology allergic reaction allergic reactions allergy
- allergies skin hyperpigmentation hypopigmentation linear scleroderma serum
- autoantibody abnormalities lichen sclerosus et atrophicus vitiligo Borrelia
- burgdorferi Lyme Disease cortisone rash rashes}
- $Volume{}
- $Log{
- Anatomy of the Skin*0006701.scf}
-
- Copyright (c) 1993 Tribune Media Services, Inc.
-
-
- Diagnosis and Treatment of Morphea
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-
- QUESTION: Can you please tell me what you know about a skin condition known
- as Morphea? About three years ago I noticed a redness in areas under my
- breast as elsewhere on my skin. At first my dermatologist suspected some type
- of allergic reaction, but though I changed my detergent, perfume and bath soap
- there was no noticeable change. Now another doctor has performed a biopsy
- with the resultant diagnosis of "morphea". What does all of this mean? I was
- told that nothing much can be done about it.
-
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-
- ANSWER: Morphea is a puzzle indeed. Morphea is characterized by patches of
- thickened skin with hyperpigmentation (increased pigmentation) or
- hypopigmentation (decreased pigmentation), and a purple colored border around
- the lesion. Another type of morphea, generalized morphea, has more numerous
- and larger patches than morphea, and can be located in various areas of skin
- about the body. Morphea, as well as generalized morphea, and a condition
- known as linear scleroderma, are all related. Linear scleroderma presents
- with bands of skin thickening. Like linear scleroderma, morphea and
- generalized morphea are associated with serum autoantibody abnormalities, a
- clue to an allergic origin. Other possible clues to its etiology are its
- association with lichen sclerosus et atrophicus, some autoimmune diseases such
- as vitiligo (a condition which displays changes in skin pigmentation), and a
- commonly believed relationship to infection with Borrelia burgdorferi, the
- organism that causes Lyme Disease.
- A number of blood tests are available to help isolate the specific cause
- of your particular skin rash, but often the results are inconclusive. If a
- specific cause can be determined, than the therapies used for that disease
- could be helpful, for example antibiotics if your morphea does have an
- association with an borellia infection. When no reason can be discovered,
- some of the symptoms can be controlled with local medications. For itchiness,
- cortisone-like creams applied directly to the rash can often offer you the
- relief you are seeking. For the most part, the condition is relatively
- benign, and though it may be a chronic complaint, seldom affects your life
- expectancy.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-