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Figure c57/f001
Figure 57.1
(a) Female patient with widespread, thickened, waxy plaques (i–iii) with a crinkled, hyperkeratotic surface (iv), occurring in an isomorphic pattern, ...
Figure c57/f005
Figure 57.5
Plaque morphoea with deep involvement.
Figure c57/f009
Figure 57.9
Disseminated plaque morphoea. (a) Active inflammatory stage with no deep involvement, and an isomorphic pattern of lesions around the bra, waistband a...
Figure c57/f013
Figure 57.13
Linear morphoea en coup de sabre. (a) Hyperpigmention on the forehead with subcutaneous atrophy and a subtle indentation of bone. (b, c) Alopecia with...
Figure c57/f017
Figure 57.17
Therapeutic algorithm for morphoea based on existing evidence. b.d., twice a day; IV, intravenous; MLD, manual lymphatic drainage; NB, narrow band; o....
Figure c57/f002
Figure 57.2
Proposed conceptual model of localized scleroderma: transition from Th1/Th17 to Th2 response. (From Kurzinski et al . 2011 [ ]. Reproduced with perm...
Figure c57/f006
Figure 57.6
Atrophoderma of Pasini and Pierini. (Courtesy of Dr D. A. Burns, Leicester Royal Infirmary, Leicester, UK.)
Figure c57/f010
Figure 57.10
Pansclerotic morphoea in one patient showing circumferential involvement of the lower limbs and trunk with sparing of the areolae and hands.
Figure c57/f014
Figure 57.14
Progressive hemifacial atrophy involving the left side of the mandible and chin. Normal skin overlies atrophic deeper structures (arrows). Note the fa...
Figure c57/f003
Figure 57.3
Typical histopathological appearances in morphoea. (a) Low power view showing perivascular inflammation in the papillary and upper reticular dermis, d...
Figure c57/f007
Figure 57.7
(a) Keloidal morphoea in a patient with limited cutaneous systemic sclerosis. (b) Low power view showing a thick dermis, dense collagen and reduced ad...
Figure c57/f011
Figure 57.11
Eosinophilic fasciitis. Limited disease involving the lower legs and ankles. The skin appears shiny and taught
Figure c57/f015
Figure 57.15
Linear morphoea of the left arm (top) and leg (below). (a, b) Active inflammatory phase showing (a) the shiny waxy appearance at presentation and (b) ...
Figure c57/f004
Figure 57.4
(a, b) Early, inflammatory, superficial plaque of morphoea with erythema and bruise‐like appearance. (c) Sclerotic centre with inflammatory, periphera...
Figure c57/f008
Figure 57.8
Deep involvement in morphoea. The skin is tethered to the underlying involved deep tissues giving a puckered appearance and bound‐down feeling.
Figure c57/f012
Figure 57.12
Blaschkoid nature of linear morphoea on the face (a, d), back (b, e) and chest (c, f). (From Weibel and Harper 2008 [ ]. Reproduced with permission o...
Figure c57/f016
Figure 57.16
Localized scleroderma cutaneous assessment tool (LoSCAT). (From Arkachaisri et al . 2010 [ ]. Reproduced with permission of Oxford University Press....