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Morphea of the faceMMorphea of the faceMorphea of the faceEnglishDermatologyChild (0-12 years);Teen (13-18 years)Head;SkinSkinConditions and diseasesCaregivers Adult (19+)NA2009-11-10T05:00:00ZRonald M. Laxer, MD, FRCPC;Christine O'Brien, BSc, OT Reg (Ont), MSc8.0000000000000059.0000000000000930.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Morphea is a rare condition in which the skin becomes thick and hard due to excess collagen. Read about patients who may be eligible for cosmetic surgery.</p><h2>What is morphea of the face?</h2> <p>Morphea is a skin condition known as a 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. It is extremely rare for the localized type to become the systemic type. </p> <p>The localized type is often called "morphea" or "morphea scleroderma." When this condition appears on the face, it is called "morphea of the face." </p><h2>Key points</h2><ul><li>Morphea is an uncommon condition which causes the skin to harden and look bruised.</li><li>Morphea of the face is treated with creams, and/or medication.</li> <li>The active inflammation of morphea of the face stops after several years.</li></ul><h2>Morphea looks like discoloured patches on the skin</h2> <p>Morphea makes patches called "plaques" or "lesions" on the skin. It usually begins with a whitish patch with a purple border. It often has the appearance of a bruise. However, it can look very different from patient to patient. There are several types of morphea and each type looks a little different: </p> <ul> <li>Plaque morphea is usually 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.</li> <li>Generalized morphea begins as many plaques on the body that may get bigger or join together. </li> <li>Linear morphea appears in a line. It is usually on the arm or the leg, and may also occur on the face. </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 has no known cause</h2> <p>Sometimes morphea seems to happen after an injury. Other times, it seems to happen when a child's immune system is too active. In this case, the body makes too much collagen, and the skin and underlying tissues get inflamed. Morphea is not contagious. </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 test for morphea. </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 stop new lesions from appearing. </p> <h3>Creams, ointments, and medication</h3> <p>You may be given ointment 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 is more severe, for example if it covers a lot of the body or makes it hard for your child to move. Your child may need to have regular blood tests in this case. These tests monitor the effects and possible side effects of the medication. </p> <h3>Make-up</h3> <p>There are special make-up products that can cover the darker or lighter parts of the skin. Ask your doctor about these products.</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>Cosmetic surgery</h3> <p>Some children with morphea of the face may be candidates for plastic surgery and can be referred for a consultation.</p>

 

 

Morphea of the face917.000000000000Morphea of the faceMorphea of the faceMEnglishDermatologyChild (0-12 years);Teen (13-18 years)Head;SkinSkinConditions and diseasesCaregivers Adult (19+)NA2009-11-10T05:00:00ZRonald M. Laxer, MD, FRCPC;Christine O'Brien, BSc, OT Reg (Ont), MSc8.0000000000000059.0000000000000930.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Morphea is a rare condition in which the skin becomes thick and hard due to excess collagen. Read about patients who may be eligible for cosmetic surgery.</p><h2>What is morphea of the face?</h2> <p>Morphea is a skin condition known as a 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. It is extremely rare for the localized type to become the systemic type. </p> <p>The localized type is often called "morphea" or "morphea scleroderma." When this condition appears on the face, it is called "morphea of the face." </p><h2>Morphea of the face</h2> <p>There are two types of morphea that can affect the face:</p> <ul> <li><em>En coup de sabre</em> appears on the forehead and sometimes the scalp.</li> <li>Parry-Romberg Syndrome appears on the face below the forehead. This type of morphea affects the skin as well as the tissues under it. The colour of the skin might change and the tissue might shrink and get smaller. If the morphea affects one side of the face, this side might look smaller than the other side. As the child grows, the difference in the size and shape of that part of the skin may become easier to see. </li> </ul><h2>Key points</h2><ul><li>Morphea is an uncommon condition which causes the skin to harden and look bruised.</li><li>Morphea of the face is treated with creams, and/or medication.</li> <li>The active inflammation of morphea of the face stops after several years.</li></ul><h2>Morphea looks like discoloured patches on the skin</h2> <p>Morphea makes patches called "plaques" or "lesions" on the skin. It usually begins with a whitish patch with a purple border. It often has the appearance of a bruise. However, it can look very different from patient to patient. There are several types of morphea and each type looks a little different: </p> <ul> <li>Plaque morphea is usually 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.</li> <li>Generalized morphea begins as many plaques on the body that may get bigger or join together. </li> <li>Linear morphea appears in a line. It is usually on the arm or the leg, and may also occur on the face. </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 has no known cause</h2> <p>Sometimes morphea seems to happen after an injury. Other times, it seems to happen when a child's immune system is too active. In this case, the body makes too much collagen, and the skin and underlying tissues get inflamed. Morphea is not contagious. </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 test for morphea. </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 stop new lesions from appearing. </p> <h3>Creams, ointments, and medication</h3> <p>You may be given ointment 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 is more severe, for example if it covers a lot of the body or makes it hard for your child to move. Your child may need to have regular blood tests in this case. These tests monitor the effects and possible side effects of the medication. </p> <h3>Make-up</h3> <p>There are special make-up products that can cover the darker or lighter parts of the skin. Ask your doctor about these products.</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>Cosmetic surgery</h3> <p>Some children with morphea of the face may be candidates for plastic surgery and can be referred for a consultation.</p><h2>Outcome</h2> <p>The active inflammation of morphea of the face may last three to five years. The majority of children recover well from morphea of the face. </p> <p>After the morphea is gone, there may be some change in the pigment (colour) of the skin: it may be lighter or darker than the skin around it. </p> <p>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>Morphea of the face

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