ABSTRACT
This chapter presents the case study of a 36-year-old woman. A 30-year-old woman presents with 10-month history of asymptomatic skin lesions developing over her trunk. Initially the lesions were red oval patches, which over many months became hard and the skin white. There are scattered, oval, indurated shiny white plaques with a purplish, poorly defined border predominantly over her trunk. This patient’s skin biopsy confirmed the clinical diagnosis of morphoea. Some of the lesions have become more hyperpigmented. Palpation of the skin is an extremely important part of a dermatological examination. The skin feels smooth and often waxy. Histopathology shows a proliferation of collagen in the dermis and subcutis. Skin changes are usually localized and initially erythematous/violaceous oval plaques which progress into ivory-coloured, hardening plaques measuring 1–20 cm in diameter. The clinical course is generally slowly progressive, although some cases can ‘burn out’ and others spontaneously resolve.
