John Libbey Eurotext

European Journal of Dermatology


Generalized morphea-like lesions arising in mechanically-compressed areas by underclothes Volume 16, issue 3, May-June 2006


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Department of Dermatology, Okayama University School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan
  • Key words: morphea, compression, Koebner phenomenon, organic solvent, systemic sclerosis
  • Page(s) : 307-9
  • Published in: 2006

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.