RT Book, Section A1 Cyrus, Nika A1 Jacobe, Heidi T. A2 Kang, Sewon A2 Amagai, Masayuki A2 Bruckner, Anna L. A2 Enk, Alexander H. A2 Margolis, David J. A2 McMichael, Amy J. A2 Orringer, Jeffrey S. SR Print(0) ID 1161332682 T1 Morphea and Lichen Sclerosus T2 Fitzpatrick's Dermatology, 9e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071837798 LK dermatology.mhmedical.com/content.aspx?aid=1161332682 RD 2024/04/24 AB AT-A-GLANCEOccurs in children and adults.Linear subtype predominates in children.Circumscribed and generalized predominate in adults.A self-limited or chronically relapsing autoimmune disorder targeting the skin with the following major features:Inflammatory, sclerotic, atrophic phases.Thickened sclerotic skin.Systemic disease, including arthritis and neurologic disorders, in a minority.Differentiated from scleroderma by lack of acrosclerosis/sclerodactyly.Complications may cause significant irreversible cosmetic and functional impairment including the following:Atrophy of dermis, fat, and subcutaneous structures.Contracture.Limb-length discrepancy.Bony abnormalities.Effective treatment reduces signs of disease activity and does not produce complete resolution of lesions. Treatment based on the following:Disease subtype.Depth of involvement.Stage (inflammatory, sclerotic, atrophic).Potential for complications.