Chapter 64 - Morphea and Lichen Sclerosus

Question 1

TABLE 64-2
Proposed Classification of Morphea Subtypes

MORPHEA SUBTYPE

Single or multiple oval/round lesions limited to epidermis and dermis

Answer 1

Circumscribed, Superficial

Question 2

TABLE 64-2
Proposed Classification of Morphea Subtypes

MORPHEA SUBTYPE

Single or multiple oval/round lesions involving subcutaneous tissue, fascia, or muscle

Answer 2

Circumscribed, Deep

Question 3

TABLE 64-2
Proposed Classification of Morphea Subtypes

MORPHEA SUBTYPE

Linear lesions involving dermis subcutaneous tissue with/without involvement of skin, dermis, subcutaneous tissue, muscle, or bone

Answer 3

Linear, Trunk/limbs

Question 4

TABLE 64-2
Proposed Classification of Morphea Subtypes

MORPHEA SUBTYPE

En coup de sabre, progressive facial hemiatrophy, linear lesions of the face (may involve underlying soft tissue, bone, or brain/gingiva/etc.)

Answer 4

Linear, Head

Question 5

TABLE 64-2
Proposed Classification of Morphea Subtypes

MORPHEA SUBTYPE

More than or equal to 4 plaques in at least 2 of 7 anatomic sites (head–neck, right/left upper extremity, right/left lower extremity, anterior/posterior trunk); isomorphic pattern: coalescent plaques inframammary fold, waistline, lower abdomen, proximal thighs; symmetric pattern: symmetric plaques circumferential around breasts, umbilicus, arms, and legs

Answer 5

Generalized, Coalescent plaque

Question 6

TABLE 64-2
Proposed Classification of Morphea Subtypes

MORPHEA SUBTYPE

Circumferential involvement of majority of body surface area (sparing fingertips and toes), affecting skin, subcutaneous tissue, muscle or bone; no internal organ involvement

Answer 6

Generalized, Pansclerotic

Question 7

TABLE 64-2
Proposed Classification of Morphea Subtypes

MORPHEA SUBTYPE

Combination of any subtype

Answer 7

Generalized, Mixed

Question 8

Figure 64-2
Stages of morphea lesions

Clinical manifestation

Pathology
Inflammatory initiation

Answer 8

Erythematous patch or thin plaque

Question 9

Figure 64-2
Stages of morphea lesions

Clinical manifestation

Pathology
Inflammation and early sclerosis

Answer 9

Central sclerosis with perilesional erythema

Question 10

Figure 64-2
Stages of morphea lesions

Clinical manifestation

Pathology
Sclerosis and waning inflammation

Answer 10

Central sclerosis and violaceous, hyperpigmented border

Question 11

Figure 64-2
Stages of morphea lesions

Clinical manifestation

Pathology
Scarring and damage

Answer 11

Atrophy dermal, subcutaneous, or muscle