Title: Coexisting Morphea and Extragenital Lichen Sclerosus ET Atrophicus in a Female Patient
Authors: Dr Sujaya Manvi, Dr Rajni Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.97
Abstract
Morphea and lichen sclerosus et atrophicus (LSA) are two entities that are characterized clinically by indurated and sclerotic plaques with overlying dyschromic skin and pathologically by an inflammatory dermal infiltrate and fibrosis. The exact relationship between morphea and LSA is debateful. Some authors consider LSA a superficial variant of morphea whereas others consider them as two unrelated entities. Here we present a case of co-existing plaque morphea and linear morphea with concomitant lesions of extra genital LSA occurring at the same site in an adult female.
Keywords- Morphea, lichen sclerosus et atrophicus, sclerosis, plaque.
References
- Treatment of Localized Scleroderma. Actas Dermosifiliogr 2013; 104: 654-66.
- Ganesan L, Parmar H, Das JK, Gangopadhyay A. Extragenital Lichen Sclerosus et Atrophicus. Indian J Dermatol. 2015; 60(4): 420.
- Lutz V, Francès C, Bessis D, Cosnes A, Kluger N, Godet J et al. High Frequency of Genital Lichen Sclerosus in a Prospective Series of 76 Patients With Morphea. Arch Dermatol. 2012; 148(1): 24-8.
- Uitto J, Santa Cruz DJ, Bauer EA, Eisen AZ. Morphea and lichen sclerosus et atrophicus. Clinical and histopathologic studies in patients with combined features.J Am AcadDermatol 1980; 3: 271–9.
- Chen YT, Chiang YY. Coexistence of morphea and lichen sclerosus et atrophicus in a zosteriform pattern. Dermatologica Sinica 2014; 32: 65–6.
- Blaya B, Gardeazabal J, de Lagran ZM, Diaz-Perez JL. Actas Dermosifiliogr. 2008; 99(10):808-11.
- Wallace HJ. Lichen sclerosus et atrophicus. Trans St Johns HospDermatolSoc 1971; 57: 9–30.
- Schaffer JV, McNiff JM, Seropian S, Cooper DL, Bolognia JL. Lichen sclerosus and eosinophilic fasciitis as manifestations of chronic graft-versus-host disease: expanding the sclerodermoid spectrum. J Am Acad Dermatol 2005;53:591–601.
- Kowalewski C, Koz1owska A, Górska M, et al. Alterations of basement membrane zone and cutaneous microvasculature in morphea and extragenital lichen sclerosus. Am J Dermatopathol 2005; 27: 489–96.