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MorpheaMMorpheaMorpheaEnglishDermatologyChild (0-12 years);Teen (13-18 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2019-06-06T04:00:00ZElena Pope, MD, MsC, FRCPC;Ronald M. Laxer, MD, FRCPC;Christine O'Brien, BSc, OT Reg (Ont), MSc8.0000000000000061.10000000000001068.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Morphea scleroderma is a rare condition in which the skin becomes thick and hard due to excess collagen. Learn about possible treatments for morphea.<br></p><h2>What is morphea?</h2><p>Morphea is a skin condition known as localized scleroderma, meaning "hard skin." The skin becomes thick and hard because it contains too much collagen and other proteins. </p><p>There are two types of scleroderma: a systemic type and a localized type. Localized scleroderma must not be confused with systemic scleroderma. The localized type affects the skin only and does not affect the internal organs. </p><p>There are several subtypes of morphea, depending on the appearance and extent of the skin lesions. The separation helps to decide on the proper management.<br></p><h2>Key points</h2><ul><li>Morphea is an uncommon condition that causes skin to harden and look bruised.</li><li>Morphea is treated with creams, ointments and/or medications.</li> <li>The active inflammation of morphea stops after several years.</li></ul><figure> <span class="asset-image-title">Plaque morphea</span> <img alt="Plaque morphea on ankle" src="https://assets.aboutkidshealth.ca/akhassets/Morphea_2_MEDIMG_PHO_EN.jpg" /> </figure> <h2>Morphea looks like discoloured patches on the skin</h2><p>Morphea appears as patches called "plaques" or "lesions" on the skin. It usually begins with a whitish patch with a purple border. It often starts with the appearance of a bruise. However, it can look very different from person to person. There are several types of morphea, and each type looks a little different: </p><ul><li>Plaque morphea usually begins with a reddish patch that, over time, becomes an oval shape with a yellow or ivory colour in the centre and purple at the edges. It may feel thick, firm and waxy, and may look shiny. It often has the appearance of a bruise. It can look very different from person to person. As morphea progresses, the affected skin may change. The veins under the skin may show more clearly. The affected skin may look thinner and may look raised or sunken compared to the skin around it.<br></li><li>Generalized morphea occurs when many plaques are noted or more than one body part is affected.<br></li><li>Linear morphea looks similar to plaque morphea, except it tends to follow a line along an arm or leg.</li><li>Pansclerotic morphea is a very rare variant of morphea where most of the skin becomes hard and stiff.</li></ul><p>As morphea progresses, the affected skin may change. The veins under the skin may show more clearly. The affected skin may look thinner, and may look raised or sunken compared to the skin around it. </p><h2>Morphea is rare and there is no known cause<br></h2> <p>Sometimes morphea seems to happen after an injury. Morphea may be the result of an overactive immune system (autoimmune disease). Morphea is not contagious.<br></p><h2>Morphea is diagnosed by history and examination</h2><p>The doctor might take a small part of the skin to send to the lab for tests. This is called a biopsy. There is no blood test to confirm the diagnosis for morphea, although the doctors will ask for tests to look for functioning of other organs.<br></p><h2>There are several treatments for morphea</h2><p>Morphea can be treated, but it cannot be cured. Treatment can reduce the inflammation, stop lesions from spreading and prevent new lesions from appearing. </p><h3>Creams, ointments and medication</h3><p>You may be given ointments or creams to put on your child's skin.</p><p>Your child may need stronger medication, such as <a href="/Article?contentid=221&language=English">prednisone</a> or <a href="/Article?contentid=185&language=English">methotrexate</a>, if the morphea: </p><ul><li>is spreading rapidly</li><li>affects a younger child</li><li>affects large areas</li></ul><p>Your child may need regular blood tests to monitor the effects and possible side effects of the medication. </p><h3>Monitoring</h3><p>At each clinic visit, your child's skin will be examined. Photographs will be taken to help keep track of changes in the morphea.</p><p>Ultrasound or MRI may be used to see if the morphea has affected the deeper tissues under the skin.</p><h3>Physiotherapy</h3><p>Children with limitation in movement may benefit from therapy to increase the function of the joint.</p><h3>Surgery</h3><p>Some children with morphea may be candidates for orthopaedic or plastic surgery to deal with scarring or deformities and can be referred for a consultation.</p><h2>Skin changes</h2><p>When the disease becomes inactive, the affected skin may become darker than the rest of the skin. Additionally, hardening of the skin may leave permanent scarring. Loss of fat may make the skin appear thinner with more visible vessels.</p><h2>Musculoskeletal involvement</h2><p>Some patients may have arthritis or develop limitation in the movement of a joint. Rarely, deeper involvement of the muscle and fascia (connective tissue) may occur.</p><h2>Deformity</h2><p>The affected area may look smaller. The difference in size compared with the normal side may become more obvious when the child grows, even if the disease is no longer active.</p><p>If your child is on methotrexate or prednisone and becomes unwell, has fever or has been exposed to chickenpox and is not vaccinated, stop the medication and contact your child’s health-care team for further information.</p>
MorphéeMMorphéeMorpheaFrenchDermatologyChild (0-12 years);Teen (13-18 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2015-07-15T04:00:00ZRonald M. Laxer, MD, FRCPC;Christine O'Brien, BSc, OT Reg (Ont), MSc7.0000000000000068.0000000000000640.000000000000Health (A-Z) - ConditionsHealth A-Z<p>La morphée est une dermatose rare. Cet article vous renseignera sur lles traitements possibles de la morphée.</p><figure><span class="asset-image-title">Morphée ou sclérodermie en plaque</span><img alt="Plaque morphea sur la cheville" src="https://assets.aboutkidshealth.ca/akhassets/Morphea_2_MEDIMG_PHO_EN.jpg" /></figure> <h2>En quoi consiste la morphée?</h2><p>La morphée est une dermatose (maladie de peau) aussi appelée sclérodermie localisée ou circonscrite qui se manifeste par un « durcissement » localisé de la peau. La peau devient épaisse et dure parce qu’elle contient un excès de collagène et d’autres protéines.</p><p>Il ne faut pas confondre la sclérodermie localisée avec la sclérodermie généralisée ou systémique. Le type localisé touche uniquement la peau sans atteindre les organes internes. Il est extrêmement rare que la sclérodermie localisée devienne généralisée.</p><p>La sclérodermie localisée est souvent appelée « morphée ».</p><h2>À retenir</h2> <ul> <li>La morphée est une maladie rare caractérisée par le durcissement de la peau et la formation de plaques qui ressemblent à des ecchymoses.</li> <li>La morphée se traite avec des crèmes, des onguents ou des médicaments.</li> <li>L’inflammation active due à la morphée prend fin au bout de plusieurs années.</li> </ul><h2>La morphée ressemble à des plaques décolorées sur la peau</h2><p>La morphée crée des « plaques » ou « lésions » sur la peau. C’est d’abord une plaque blanchâtre dont le pourtour est pourpre qui apparaît habituellement. Cette lésion ressemble souvent à une ecchymose. Son apparence peut cependant être très différente d’une personne à l’autre. Il y a plusieurs types de morphée dont l’apparence varie légèrement : </p><ul><li>Sclérodermie en plaques : Les plaques de ce type de sclérodermie sont habituellement de forme ovale au centre jaunâtre ou ivoire et au pourtour pourpre. Elles peuvent être épaisses, fermes et cireuses au toucher et être luisantes.</li><li>Sclérodermie systémique (ou généralisée) : Ce type de sclérodermie se manifeste d’abord par la formation sur le corps de nombreuses plaques qui peuvent grossir ou fusionner.</li><li>Sclérodermie linéaire : Elle se présente sous la forme d’une bande linéaire qui s’étend habituellement le long d’un bras ou d’une jambe, mais qui peut aussi apparaître sur le visage. </li></ul> <p>À mesure que la morphée évolue, la peau des lésions peut changer. Les veines sous la peau peuvent devenir plus apparentes alors que la peau proprement dite peut devenir plus mince, bombée ou affaissée par rapport à la peau non atteinte.</p><h2>Morphée du visage</h2><p>Deux types de morphée peuvent toucher le visage :</p><ul><li>a sclérodermie en coupe de sabre apparait sur le front et parfois le cuir chevelu;</li><li>le syndrome de Parry-Romberg Syndrome apparait sur le visage sous le front. Ce type de morphée touche la peau et les tissus sous-jacents. La couleur de la peau peut changer, et les tissus peuvent rapetisser. Si la morphée touche un côté du visage, ce dernier peut donc avoir l'air plus petit que l'autre côté. À mesure que l'enfant grandit, la différence de taille et de forme entre cette partie du visage et le reste peut devenir plus apparente.</li></ul><h2>La morphée est peu courante</h2> <p>La morphée est assez rare et elle est plus fréquente chez les enfants et les adolescents que chez les adultes.</p> <p> Quand c’est le visage qui est touché, d’autres tissus peuvent aussi être atteints. Votre médecin pourrait donc vous recommander de passer un examen de la vue ou une IRM du cerveau. </p> <h2>La morphée n’a pas de cause connue</h2> <p>La morphée semble parfois se manifester par suite d’une blessure. Dans d’autres cas, elle semble survenir quand le système immunitaire s’emballe. Cela se produit lorsque le corps fabrique trop de collagène, ce qui entraîne une inflammation de la peau et des tissus sous-jacents. La morphée n’est pas contagieuse.</p><h2>Le diagnostic de morphée</h2> <p>Le diagnostic de morphée repose sur les antécédents et les résultats d’une analyse. Le médecin pourrait donc faire prélever un petit échantillon de peau afin de le faire analyser en laboratoire. Aucune analyse de sang n’est requise pour diagnostiquer la morphée.</p><h2>La morphée se traite de plusieurs façons</h2><p>La morphée se soigne, mais ne se guérit pas. Le traitement peut permettre de réduire l’inflammation, de freiner la propagation des lésions et d’empêcher la formation de nouvelles lésions.</p><h3>Crèmes, onguents et médicaments<br></h3><p>On pourrait vous donner un onguent ou des crèmes à mettre sur la peau de votre enfant.</p><p>Votre enfant pourrait avoir besoin de médicaments plus puissants comme la prednisone ou le méthotrexate si la morphée s’aggrave ou gène ses mouvements. Il pourrait également avoir à se soumettre à des prélèvements sanguins réguliers afin de surveiller l’efficacité et les effets secondaires possibles du médicament. </p><h3>Exercice et soins de la peau et des articulations</h3><p>Encouragez votre enfant à faire de l’exercice et des étirements pour assurer la souplesse des articulations, de la peau et des muscles.</p><h3>Maquillage</h3><p>Il existe des produits de maquillage particuliers qui peuvent couvrir les taches foncées ou pâles sur la peau. Renseignez-vous auprès de votre médecin à ce sujet.</p><h3>Surveillance</h3><p>La peau de votre enfant sera examinée à chacun de ses rendez-vous en clinique. Des photos seront prises afin de permettre de faire le suivi de l’évolution de la morphée. </p><p>Des échographies ou des IRM peuvent servir à déterminer si la morphée a atteint des tissus profonds.</p>

 

 

 

 

Morphea916.000000000000MorpheaMorpheaMEnglishDermatologyChild (0-12 years);Teen (13-18 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2019-06-06T04:00:00ZElena Pope, MD, MsC, FRCPC;Ronald M. Laxer, MD, FRCPC;Christine O'Brien, BSc, OT Reg (Ont), MSc8.0000000000000061.10000000000001068.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Morphea scleroderma is a rare condition in which the skin becomes thick and hard due to excess collagen. Learn about possible treatments for morphea.<br></p><h2>What is morphea?</h2><p>Morphea is a skin condition known as localized scleroderma, meaning "hard skin." The skin becomes thick and hard because it contains too much collagen and other proteins. </p><p>There are two types of scleroderma: a systemic type and a localized type. Localized scleroderma must not be confused with systemic scleroderma. The localized type affects the skin only and does not affect the internal organs. </p><p>There are several subtypes of morphea, depending on the appearance and extent of the skin lesions. The separation helps to decide on the proper management.<br></p><h2>Key points</h2><ul><li>Morphea is an uncommon condition that causes skin to harden and look bruised.</li><li>Morphea is treated with creams, ointments and/or medications.</li> <li>The active inflammation of morphea stops after several years.</li></ul><figure> <span class="asset-image-title">Plaque morphea</span> <img alt="Plaque morphea on ankle" src="https://assets.aboutkidshealth.ca/akhassets/Morphea_2_MEDIMG_PHO_EN.jpg" /> </figure> <h2>Morphea looks like discoloured patches on the skin</h2><p>Morphea appears as patches called "plaques" or "lesions" on the skin. It usually begins with a whitish patch with a purple border. It often starts with the appearance of a bruise. However, it can look very different from person to person. There are several types of morphea, and each type looks a little different: </p><ul><li>Plaque morphea usually begins with a reddish patch that, over time, becomes an oval shape with a yellow or ivory colour in the centre and purple at the edges. It may feel thick, firm and waxy, and may look shiny. It often has the appearance of a bruise. It can look very different from person to person. As morphea progresses, the affected skin may change. The veins under the skin may show more clearly. The affected skin may look thinner and may look raised or sunken compared to the skin around it.<br></li><li>Generalized morphea occurs when many plaques are noted or more than one body part is affected.<br></li><li>Linear morphea looks similar to plaque morphea, except it tends to follow a line along an arm or leg.</li><li>Pansclerotic morphea is a very rare variant of morphea where most of the skin becomes hard and stiff.</li></ul><p>As morphea progresses, the affected skin may change. The veins under the skin may show more clearly. The affected skin may look thinner, and may look raised or sunken compared to the skin around it. </p><h2>Morphea is rare and there is no known cause<br></h2> <p>Sometimes morphea seems to happen after an injury. Morphea may be the result of an overactive immune system (autoimmune disease). Morphea is not contagious.<br></p><p>Morphea is unpredictable. Most children have the disease for months or years before it is recognized or diagnosed. Even without treatment, morphea stops being active and usually "burns out" after three to five years.</p><p>The disease has three phases:</p><ul><li>an early inflammatory phase that presents as nonspecific redness</li><li>a second inflammatory phase, which typically presents with a hardened middle of white discolouration with a red-purple border</li><li>a burnt-out phase, appearing as increased colour, thinning of the skin with more visible vessels or sunken skin layers (due to loss of fat)</li></ul><p>Some patients may have disease activity beyond the three to five years that requires longer-term treatment.</p><h2>Morphea is diagnosed by history and examination</h2><p>The doctor might take a small part of the skin to send to the lab for tests. This is called a biopsy. There is no blood test to confirm the diagnosis for morphea, although the doctors will ask for tests to look for functioning of other organs.<br></p><h2>There are several treatments for morphea</h2><p>Morphea can be treated, but it cannot be cured. Treatment can reduce the inflammation, stop lesions from spreading and prevent new lesions from appearing. </p><h3>Creams, ointments and medication</h3><p>You may be given ointments or creams to put on your child's skin.</p><p>Your child may need stronger medication, such as <a href="/Article?contentid=221&language=English">prednisone</a> or <a href="/Article?contentid=185&language=English">methotrexate</a>, if the morphea: </p><ul><li>is spreading rapidly</li><li>affects a younger child</li><li>affects large areas</li></ul><p>Your child may need regular blood tests to monitor the effects and possible side effects of the medication. </p><h3>Monitoring</h3><p>At each clinic visit, your child's skin will be examined. Photographs will be taken to help keep track of changes in the morphea.</p><p>Ultrasound or MRI may be used to see if the morphea has affected the deeper tissues under the skin.</p><h3>Physiotherapy</h3><p>Children with limitation in movement may benefit from therapy to increase the function of the joint.</p><h3>Surgery</h3><p>Some children with morphea may be candidates for orthopaedic or plastic surgery to deal with scarring or deformities and can be referred for a consultation.</p><h2>Skin changes</h2><p>When the disease becomes inactive, the affected skin may become darker than the rest of the skin. Additionally, hardening of the skin may leave permanent scarring. Loss of fat may make the skin appear thinner with more visible vessels.</p><h2>Musculoskeletal involvement</h2><p>Some patients may have arthritis or develop limitation in the movement of a joint. Rarely, deeper involvement of the muscle and fascia (connective tissue) may occur.</p><h2>Deformity</h2><p>The affected area may look smaller. The difference in size compared with the normal side may become more obvious when the child grows, even if the disease is no longer active.</p><p>Discuss the diagnosis openly with your child and provide reassurance.</p><p>Discuss the diagnosis with teachers, especially if your child will require multiple hospital visits and treatments, and to prevent bullying.</p><p>Seek reassurance and coping strategies from your child’s health-care team and ask for a referral to a mental health specialist if your child is becoming anxious or depressed or is facing bullying.</p><p>Encourage your child to be active.</p><p>Most of the complications related to the disease can be decreased by treating it early. Follow the health-care team’s recommendations for screening of associated complications. </p><p>If your child is on methotrexate or prednisone and becomes unwell, has fever or has been exposed to chickenpox and is not vaccinated, stop the medication and contact your child’s health-care team for further information.</p><h2>Outcome</h2><p>The active inflammation of morphea may last three to five years, even if not treated. Most children recover very well.</p><p>After the morphea is gone, there may be some change in the pigment (colour) of the skin.<br></p><p>The skin and other tissues may atrophy (shrink). The fatty tissue under the skin may disappear. This will make affected areas look thinner and have a different texture. </p><p>Permanent scarring or differences in the appearance or size/length of the extremity may occur.</p>https://assets.aboutkidshealth.ca/akhassets/Morphea_2_MEDIMG_PHO_EN.jpgMorpheaFalse

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