This slideshow illustrates different types of sclerodermas, including morphea, progressive cutaneous scleroderma, and scleroderma en coup de sabre. Each slide links to the full case report for more details.
A 12-year-old girl presented with a worsening discoloring on her trunk of 6 months duration that was asymptomatic. She is otherwise healthy. She is self-conscious about being in a bathing suit.
- Scleroderma en coup de sabre
An 8-year-old, otherwise healthy girl presented for evaluation of an enlarging dark rash on her forehead. The rash had started 3 years ago as a small white circle on her forehead, and it had gradually darkened and spread from her forehead to the tip of her nose. She also had a hypopigmented, flat, nonpruritic, linear lesion measuring 2 × 8 cm behind her lower right thigh and extending vertically to the posterior knee.
A 17-year-old presented with asymptomatic patchy skin discoloration on his back of 2 years’ duration. He practiced martial arts, and initially he had thought that the lesions were bruises related to that activity. However, the lesions did not fade away but rather had been slowly increasing in size. His past health was unremarkable, and he was not on any medication. There was no family history of a similar skin disorder or autoimmune disease.
- Progressive Cutaneous Scleroderma
A 60-year-old woman presented with painful and sclerotic hands and fingers. She had been an airline attendant but had to quit her job as a result of the pain and her inability to use her hands over the past 7 years.
- Asymptomatic Morphea Plaque
A 55-year White woman has had a lesion on her back, under her bra line, for the past 3 years. The patient states the lesion began as a dark reddish-brown patch of skin and has evolved over time. The lesion is not painful and does not itch.
Slideshow: Presentations of Scleroderma