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Feature Article

An approach to management of morphoea

Vernon SC Pua, Stephen Lee

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Abstract

Reassurance and counselling for patients with morphoea may be sufficient as morphoea often resolves with time. It should, however, be differentiated from systemic sclerosis, which is a far more serious disease.

Key Points

  • Morphoea is a benign dermatosis that has a good long-term prognosis.
  • Diagnostic tests are not usually necessary for morphoea but it needs to be differentiated from systemic sclerosis, with which it is often confused.
  • Small morphoeic plaques can be monitored without active treatment.
  • Topical agents can be used in the early inflammatory stage.
  • Reassurance of patients is the key to preventing needless worry.

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