Cargando…
Circumscribed Morphea and Breast Asymmetry in an Adolescent
Morphea is a rare fibrosing disorder of the skin and underlying tissues. Circumscribed morphea presents with less than three discrete indurated plaques and breasts are commonly affected in women. We report the case of a 12-year-old female with a right infra-areolar, nontender, brownish patch and asy...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4006552/ https://www.ncbi.nlm.nih.gov/pubmed/24826351 http://dx.doi.org/10.1155/2014/418257 |
_version_ | 1782314229088387072 |
---|---|
author | Massa, António Augusto Fernandes Baptista, Armando Manuel Simões Couceiro, António Manuel Ferreira da Silva Abreu Ferreira, Eduarda Macedo Osório Morais |
author_facet | Massa, António Augusto Fernandes Baptista, Armando Manuel Simões Couceiro, António Manuel Ferreira da Silva Abreu Ferreira, Eduarda Macedo Osório Morais |
author_sort | Massa, António Augusto Fernandes |
collection | PubMed |
description | Morphea is a rare fibrosing disorder of the skin and underlying tissues. Circumscribed morphea presents with less than three discrete indurated plaques and breasts are commonly affected in women. We report the case of a 12-year-old female with a right infra-areolar, nontender, brownish patch and asymmetry of the right breast with 2 years of evolution. Skin biopsy showing thickening of the dermal collagen bundles confirmed the clinical diagnosis of morphea. After a 3-year follow-up period without progression of disease, reconstructive surgery is scheduled. Plaque morphea can involve all layers of the skin but associated breast deformity is rare. It can mimic benign and malignant breast disorders justifying the benefit for early tissue biopsy. Breast morphea generally has a good prognosis but hyperpigmentation and breast deformity in young girls have been rarely described. An early diagnosis can possibly lead to a therapeutic intervention with a different outcome, as it can be the source of severe psychological and social issues in a delicate period of development such as adolescence. |
format | Online Article Text |
id | pubmed-4006552 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-40065522014-05-13 Circumscribed Morphea and Breast Asymmetry in an Adolescent Massa, António Augusto Fernandes Baptista, Armando Manuel Simões Couceiro, António Manuel Ferreira da Silva Abreu Ferreira, Eduarda Macedo Osório Morais Case Rep Dermatol Med Case Report Morphea is a rare fibrosing disorder of the skin and underlying tissues. Circumscribed morphea presents with less than three discrete indurated plaques and breasts are commonly affected in women. We report the case of a 12-year-old female with a right infra-areolar, nontender, brownish patch and asymmetry of the right breast with 2 years of evolution. Skin biopsy showing thickening of the dermal collagen bundles confirmed the clinical diagnosis of morphea. After a 3-year follow-up period without progression of disease, reconstructive surgery is scheduled. Plaque morphea can involve all layers of the skin but associated breast deformity is rare. It can mimic benign and malignant breast disorders justifying the benefit for early tissue biopsy. Breast morphea generally has a good prognosis but hyperpigmentation and breast deformity in young girls have been rarely described. An early diagnosis can possibly lead to a therapeutic intervention with a different outcome, as it can be the source of severe psychological and social issues in a delicate period of development such as adolescence. Hindawi Publishing Corporation 2014 2014-01-08 /pmc/articles/PMC4006552/ /pubmed/24826351 http://dx.doi.org/10.1155/2014/418257 Text en Copyright © 2014 António Augusto Fernandes Massa et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Massa, António Augusto Fernandes Baptista, Armando Manuel Simões Couceiro, António Manuel Ferreira da Silva Abreu Ferreira, Eduarda Macedo Osório Morais Circumscribed Morphea and Breast Asymmetry in an Adolescent |
title | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
title_full | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
title_fullStr | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
title_full_unstemmed | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
title_short | Circumscribed Morphea and Breast Asymmetry in an Adolescent |
title_sort | circumscribed morphea and breast asymmetry in an adolescent |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4006552/ https://www.ncbi.nlm.nih.gov/pubmed/24826351 http://dx.doi.org/10.1155/2014/418257 |
work_keys_str_mv | AT massaantonioaugustofernandes circumscribedmorpheaandbreastasymmetryinanadolescent AT baptistaarmandomanuelsimoes circumscribedmorpheaandbreastasymmetryinanadolescent AT couceiroantoniomanuelferreiradasilvaabreu circumscribedmorpheaandbreastasymmetryinanadolescent AT ferreiraeduardamacedoosoriomorais circumscribedmorpheaandbreastasymmetryinanadolescent |