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Generalized morphea-like lesions arising in mechanically-compressed areas by underclothes


European Journal of Dermatology. Volume 16, Number 3, 307-9, May-June 2006, Clinical report

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Author(s) : Mutsuko Ehara, Takashi Oono, Osamu Yamasaki, Hironori Matsuura, Keiji Iwatsuki

Summary : We report two patients with generalized morphea-like eruptions, the distribution of which was confined to areas mechanically compressed by underclothes. One patient had Raynaud’s phenomenon and anti-centromere antibodies, and the other patient had a long history of occupational exposure to organic solvents. We believe that the Koebner phenomenon, resulting from local compression by underclothes, might be responsible for the development of morphea-like lesions in patients with subclinical systemic sclerosis.

Keywords : morphea, compression, Koebner phenomenon, organic solvent, systemic sclerosis

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