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Localized Scleroderma: Morphea
Overview
Types of Morphea
Juvenile Scleroderma
Associated Conditions
Causes of Morphea
Complications of Morphea
Diagnosis
Photos
Research Registry
Treatments
Patient and Caregiver Stories
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Diagnosis of Morphea
Morphea is a Clinical Diagnosis
Photos of Morphea
Antibodies/Blood Tests
Computerized Skin Score (CSS)
Skin Biopsy for Morphea
Infrared Thermography
Laser Doppler Flowmetry
Skin Biopsy
Ultrasound
Morphea is a Clinical Diagnosis
Morphea is usually diagnosed by clinical examination. The diagnosis is sometimes confirmed with blood tests, skin biopsies, or other methods.
Photos of Morphea
ISN Photo Repository: Morphea Photos. ISN.
Antibodies and Other Blood Tests in Morphea
It is not necessary to have antibodies to substantiate a diagnosis of morphea. However antibodies are sometimes found in patients with morphea. Levels of serum manganese superoxide may be markers for disease activity, and may indicate the extent of skin involvement.
Rheumatoid factor isotypes in localized scleroderma. The presence of RF isotypes is one of the immunological abnormalities of localized scleroderma. IgM RF seemed to be most useful of these three factors to determine the severity of disease. PubMed. Clin Exp Dermatol. 2005 Jul;30(4):405-8.
Computerized Skin Score (CSS)
A new computerized method for the assessment of skin lesions in localized scleroderma (LS). CSS (computerized skin score) has shown to be a reliable method to assess the skin lesions in patients with LS. It is reproducible, easy to use and, with the support of the CSS software, applicable worldwide. PubMed. Rheumatology (Oxford). 2007 Jan 30. (Also see: Localized Scleroderma:Linear)
Infrared Thermography
Juvenile-onset localized scleroderma activity detection by infrared thermography. Our results demonstrate that thermography is a promising diagnostic tool when associated with clinical examination in discriminating disease activity, as long as it is applied to lesions without severe atrophy of the skin and subcutaneous fat. Further evaluation is needed to determine whether thermography can predict the future progression of lesions. Rheumatology (Oxford) 2002 Oct;41(10):1178-1182 PubMed.
Laser Doppler Flowmetry
Laser Doppler flowmetry for assessing localized scleroderma in children. LDF is a helpful, noninvasive diagnostic technique that can be used to discriminate disease activity in children with localized scleroderma, and is more accurate than thermography for this purpose. (PubMed) Arthritis Rheum. 2007 Oct;56(10):3489-95.
Skin Biopsy for Morphea
Morphea is often confirmed by skin biopsy. Skin biopsies are usually a very tiny sample of tissue and the procedure is often very quick, easy and with minimal discomfort.
Ultrasound
Ultrasound biomicroscopy (UBM) in the diagnosis of skin diseases. We conclude that UBM is a non-invasive diagnostic tool in dermatology which can be used to give valuable information about disease progress and the effectiveness of therapy. PubMed. Eur J Dermatol. 2007 Oct 19;17(6):469-475. (Also see: Psoriasis)
 
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