Lymphatic obstruction as a rare complication of morphea and response to intralesional steroid

Morphea is a rare sclerosing disorder of the skin. Linear morphea is commonly seen in children and can affect head, neck, trunk, or limbs. It may extend to involve deeper structures such as muscles, bones, and joints. Involvement of lymphatics or the vasculature is very rare. We report a case of a 2...

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Main Authors: Ishmeet Kaur, Archana Singal, Deepak Jakhar, Deepika Pandhi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Cutaneous and Aesthetic Surgery
Subjects:
Online Access:http://www.jcasonline.com/article.asp?issn=0974-2077;year=2019;volume=12;issue=1;spage=68;epage=70;aulast=Kaur
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author Ishmeet Kaur
Archana Singal
Deepak Jakhar
Deepika Pandhi
author_facet Ishmeet Kaur
Archana Singal
Deepak Jakhar
Deepika Pandhi
author_sort Ishmeet Kaur
collection DOAJ
description Morphea is a rare sclerosing disorder of the skin. Linear morphea is commonly seen in children and can affect head, neck, trunk, or limbs. It may extend to involve deeper structures such as muscles, bones, and joints. Involvement of lymphatics or the vasculature is very rare. We report a case of a 20-year-old woman presenting with linear morphea involving the nape of the neck and scalp. The lesion gradually developed two linear thick cord-like structures within the lesion of morphea because of secondary lymphatic obstruction causing restriction of neck movements. The patient was given intralesional steroid that led to softening of the skin lesions including that of cords, resulting in improvement of neck movements.
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spelling doaj.art-1ccce94695a94d0fb230779f6e3dd1152022-12-22T03:10:00ZengWolters Kluwer Medknow PublicationsJournal of Cutaneous and Aesthetic Surgery0974-20772019-01-01121687010.4103/JCAS.JCAS_155_18Lymphatic obstruction as a rare complication of morphea and response to intralesional steroidIshmeet KaurArchana SingalDeepak JakharDeepika PandhiMorphea is a rare sclerosing disorder of the skin. Linear morphea is commonly seen in children and can affect head, neck, trunk, or limbs. It may extend to involve deeper structures such as muscles, bones, and joints. Involvement of lymphatics or the vasculature is very rare. We report a case of a 20-year-old woman presenting with linear morphea involving the nape of the neck and scalp. The lesion gradually developed two linear thick cord-like structures within the lesion of morphea because of secondary lymphatic obstruction causing restriction of neck movements. The patient was given intralesional steroid that led to softening of the skin lesions including that of cords, resulting in improvement of neck movements.http://www.jcasonline.com/article.asp?issn=0974-2077;year=2019;volume=12;issue=1;spage=68;epage=70;aulast=KaurFibrosing disorderintralesional steroidlymphatic obstructionmorpheasclerodermasteroids
spellingShingle Ishmeet Kaur
Archana Singal
Deepak Jakhar
Deepika Pandhi
Lymphatic obstruction as a rare complication of morphea and response to intralesional steroid
Journal of Cutaneous and Aesthetic Surgery
Fibrosing disorder
intralesional steroid
lymphatic obstruction
morphea
scleroderma
steroids
title Lymphatic obstruction as a rare complication of morphea and response to intralesional steroid
title_full Lymphatic obstruction as a rare complication of morphea and response to intralesional steroid
title_fullStr Lymphatic obstruction as a rare complication of morphea and response to intralesional steroid
title_full_unstemmed Lymphatic obstruction as a rare complication of morphea and response to intralesional steroid
title_short Lymphatic obstruction as a rare complication of morphea and response to intralesional steroid
title_sort lymphatic obstruction as a rare complication of morphea and response to intralesional steroid
topic Fibrosing disorder
intralesional steroid
lymphatic obstruction
morphea
scleroderma
steroids
url http://www.jcasonline.com/article.asp?issn=0974-2077;year=2019;volume=12;issue=1;spage=68;epage=70;aulast=Kaur
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AT archanasingal lymphaticobstructionasararecomplicationofmorpheaandresponsetointralesionalsteroid
AT deepakjakhar lymphaticobstructionasararecomplicationofmorpheaandresponsetointralesionalsteroid
AT deepikapandhi lymphaticobstructionasararecomplicationofmorpheaandresponsetointralesionalsteroid