Circumscribed Morphea and Breast Asymmetry in an Adolescent
Morphea is a rare fibrosing disorder of the skin and underlying tissues. Circumscribed morphea presents with less than three discrete indurated plaques and breasts are commonly affected in women. We report the case of a 12-year-old female with a right infra-areolar, nontender, brownish patch and asy...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/418257 |
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| author | António Augusto Fernandes Massa Armando Manuel Simões Baptista António Manuel Ferreira da Silva Abreu Couceiro Eduarda Macedo Osório Morais Ferreira |
| author_facet | António Augusto Fernandes Massa Armando Manuel Simões Baptista António Manuel Ferreira da Silva Abreu Couceiro Eduarda Macedo Osório Morais Ferreira |
| author_sort | António Augusto Fernandes Massa |
| collection | DOAJ |
| description | Morphea is a rare fibrosing disorder of the skin and underlying tissues. Circumscribed morphea presents with less than three discrete indurated plaques and breasts are commonly affected in women. We report the case of a 12-year-old female with a right infra-areolar, nontender, brownish patch and asymmetry of the right breast with 2 years of evolution. Skin biopsy showing thickening of the dermal collagen bundles confirmed the clinical diagnosis of morphea. After a 3-year follow-up period without progression of disease, reconstructive surgery is scheduled. Plaque morphea can involve all layers of the skin but associated breast deformity is rare. It can mimic benign and malignant breast disorders justifying the benefit for early tissue biopsy. Breast morphea generally has a good prognosis but hyperpigmentation and breast deformity in young girls have been rarely described. An early diagnosis can possibly lead to a therapeutic intervention with a different outcome, as it can be the source of severe psychological and social issues in a delicate period of development such as adolescence. |
| format | Article |
| id | doaj-art-8844690d997d47f78f75db1680f1dd84 |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-8844690d997d47f78f75db1680f1dd842025-02-03T01:01:10ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712014-01-01201410.1155/2014/418257418257Circumscribed Morphea and Breast Asymmetry in an AdolescentAntónio Augusto Fernandes Massa0Armando Manuel Simões Baptista1António Manuel Ferreira da Silva Abreu Couceiro2Eduarda Macedo Osório Morais Ferreira3Department of Dermatology, Centro Hospitalar de V.N.Gaia/Espinho, EPE, 4430 Vila Nova de Gaia, PortugalDepartment of Dermatology, Centro Hospitalar de V.N.Gaia/Espinho, EPE, 4430 Vila Nova de Gaia, PortugalDepartment of Pathology, Centro Hospitalar de V.N.Gaia/Espinho, EPE, 4430 Vila Nova de Gaia, PortugalDepartment of Dermatology, Centro Hospitalar de V.N.Gaia/Espinho, EPE, 4430 Vila Nova de Gaia, PortugalMorphea is a rare fibrosing disorder of the skin and underlying tissues. Circumscribed morphea presents with less than three discrete indurated plaques and breasts are commonly affected in women. We report the case of a 12-year-old female with a right infra-areolar, nontender, brownish patch and asymmetry of the right breast with 2 years of evolution. Skin biopsy showing thickening of the dermal collagen bundles confirmed the clinical diagnosis of morphea. After a 3-year follow-up period without progression of disease, reconstructive surgery is scheduled. Plaque morphea can involve all layers of the skin but associated breast deformity is rare. It can mimic benign and malignant breast disorders justifying the benefit for early tissue biopsy. Breast morphea generally has a good prognosis but hyperpigmentation and breast deformity in young girls have been rarely described. An early diagnosis can possibly lead to a therapeutic intervention with a different outcome, as it can be the source of severe psychological and social issues in a delicate period of development such as adolescence.http://dx.doi.org/10.1155/2014/418257 |
| spellingShingle | António Augusto Fernandes Massa Armando Manuel Simões Baptista António Manuel Ferreira da Silva Abreu Couceiro Eduarda Macedo Osório Morais Ferreira Circumscribed Morphea and Breast Asymmetry in an Adolescent Case Reports in Dermatological Medicine |
| title | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
| title_full | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
| title_fullStr | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
| title_full_unstemmed | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
| title_short | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
| title_sort | circumscribed morphea and breast asymmetry in an adolescent |
| url | http://dx.doi.org/10.1155/2014/418257 |
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