Abstract

A CASE REPORT ON MORPHEA PROFUNDA WITH HYPOTHYRODISM

Sachi Anilkumar Chavda*, Neel sureshbhai raval, Dhwanil Nileshkumar Mithaiwala, Anjali Guria, S P Srinivas Nayak and Gunosindhu Chakraborthy

ABSTRACT

Morphea, often referred as localized scleroderma, is an inflammatory infection that affects skin and subcutaneous tissue undergo sclerosis. It is divided into different groups primarily on the clinical manifestations and also the structure of the skin and underlying tissues involved in the fibrotic process. Plaque morphea, linear scleroderma, generalized morphea, and pansclerotic morphea are the four major subtypes. Here we present a case of a 45-year-old woman who presented to our hospital's skin Out Patient Department (OPD) with complaints of swelling over her right leg around the knee joint, which progressed over a 10-day period, to include her right calf, knee, and eventually foot. On examination the patient's right leg had a blackish, brown discoloration, which was characterized by tightening of the skin over the affected region and having problems in stretching and walking. As there is no truly effective and universal treatment, it is essential for developing an adequate evaluation of the disease's extent and severity before deciding on a therapeutic strategy. This patient’s condition was stabilized with topical and intralesional steroids. Few other supportive drugs were also given.

Keywords: Morphea profunda, Radiotherapy, Linear Morphea, Elevated collagen levels.