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Classification of localized scleroderma

Classification of localized scleroderma
Circumscribed (plaque) morphea
One or more circumscribed patches of skin with sclerotic changes in one anatomic site
Involvement is confined to the superficial panniculus (subcutaneous tissue)
Generalized morphea
Four or more plaques that affect at least two anatomic sites
Often located on the trunk or limbs
Similar clinical and histologic features as circumscribed morphea
Bullous morphea
Bullous involvement
May occur in other forms of morphea
Linear morphea
Most common form of morphea in children
One or more elongated sclerotic areas of skin
Lesions are typically asymmetric and oriented along the affected limb
Associated with growth impairment of the involved extremity
Lesions on the face or scalp are called en coup de sabre
Deep morphea
Least common form of morphea in children
Most disabling form of morphea
Primary site of involvement is the panniculus (subcutaneous tissue)
Graphic 60398 Version 5.0