Dermatológia pre prax 4/2025
Morfea from the perspective of an outpatient dermatologist – a case report
Purpose: Morphea (localized scleroderma) is a chronic fibrosing disorder affecting the skin, subcutaneous tissue, muscle, and rarely bone. It represents a heterogeneous group of conditions characterized by progressive cutaneous induration. Unlike systemic scleroderma (SS), morphea does not involve internal organs and generally carries a favorable prognosis. In most cases, the fully developed clinical picture presents minimal diagnostic difficulty. Histopathological confirmation via biopsy is recommended when uncertainty exists. In adults, limited morphea is the most common clinical subtype, whereas the linear form predominates in pediatric patients.
Case report: We describe a histologically confirmed case of solitary plaque morphea in a 54yearold patient, which subsequently progressed to the development of additional lesions over time.
Conclusion: Timely and appropriate management of morphea is essential to accelerate remission and reduce the risk of complications. Continuous followup enables close monitoring of disease progression and facilitates prompt therapeutic intervention when indicated.
Keywords: scleroderma, morphea, probatory excision, proactive treatment, dispensary care
