A Child With Morphea in a Zosteriform Distribution

Abstract

Morphea is a localized form of scleroderma which is characterized by sclerotic plaques, limited to the skin. Although its cause is unknown, various (genetic, infectious and autoimmune) mechanisms have been suggested. It is more common among children and young women. Although clinical outcome is good, sometimes it can be prominent. Morphea have five subtypes, which are known as plaque, generalized, bullous, deep and linear forms. Zosteriform morphea is a recently described pattern and it is rarely observed. A six years old female, was admitted with multiple brown and white asymptomatic plaques arranged in a zosteriform pattern, confined to the right back since two months, without history of herpes zoster at the same location. We aimed to report the first pediatric case of morphea with zosteriform pattern in the absence of herpes zoster history.

Keywords

• Zosteriform, Morphea, child

A Child With Morphea in a Zosteriform Distribution

Öz

Morfea sklerotik plaklarla karakterize, deriye sınırlı localize scleroderma formudur. Sebebi net olarak bilinmemekle birlikte, çeşitli mekanizmalar (genetik, enfeksiyöz, otoimmün) suçlanmaktadır. Çocuklar ve genç bayanlar arasında daha sık olarak gözlenmektedir. Klinik iyi olsa da bazen kalıcı seyir gösterebilmektedir. Morfea, plak, generalize, büllöz, derin ve lineer olmak üzere 5 klinik tipte ortaya çıkmaktadır. Zosteriform morfea, nadir gözlenen ve yeni tanımlanan bir morfea formudur. 6 yaşında kız çocuk, öncesinde zona geçirme hikayesi olmaksızın 2 aydır zosteriform desende, çok sayıda beyaz-kahverengi asemptomatik plaklardan şikayetçi idi. Biz öncesinde zona hikayesi olmaksızın zosteriform paterndeki ilk çocuk olguyu sunduk

Anahtar Kelimeler

• Zosteriform, Morfea, çocuk

Kaynakça

1. Connective tissue disease. In: Habif TP, Campbell JR, Chapman MS, Dinulos J GH, Zug KA, eds. Skin disease diagnose and treatment. 2nd ed. Philadelphia: Elsevier mosby; 2005: 342-59.
2. Aydın Y, Ustun I, Onder E, Gungor A. Severe generalized morphea: a devastating eventuality in the elderly. Turkish J Geriatrics 2010; 13 (1):47-50.
3. Peterson LS, Nelson AM, Su WPD. Classification of mor- phea (localized scleroderma). Mayo Clin Proc 1995;70 (11):1068-76.
4. Joshi A, Al-Mutairi N. Zosteriform Morphea: A new pat- tern. Acta Derm Venereol 2005; 85 (3): 279-80.
5. Rowell NR, Goodfield MJD. The connective tissue dis- ease’. In; champion RH. Burton DA. Breathnach SM eds. Textbook of dermatology. 6nd ed. Blackwell science, Oxford 1998: 2437-576.
6. Morfea. In: Wolff K, Johnson RA, Suurmond D.eds. Fitzpatrick’in renkli atlası ve klinik dermatolojinin özeti. 5nd ed. New York: Mc graw-hill, inc., 2006: 130-3.
7. Wakelin SH, James MP. Zosteriform atrophoderma of Pasini and Pierini. Clin Exp Dermatol 1995; 20(3):244-6.
8. Lopez N, Alcaraz I, Cid-Manas J, Camacho E, Herrera- Acosta E, Matilla A, Herrera E. Wolf’ S isotopic responce: zosteriform morphea appering at the the site of healed herpes zoster in a HIV patient. J Eur Acad Dermatol Venereol 2009;23:90-2.

9. Forschner A, Metzler G, Rassner G, Fierlbeck G. Morphea with features of lichen sclerosus et atrophicus at the site of a herpes zoster scar: another case. Int J Dermatol 2005;44 (6):524-5.