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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...

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Autores principales: Massa, António Augusto Fernandes, Baptista, Armando Manuel Simões, Couceiro, António Manuel Ferreira da Silva Abreu, Ferreira, Eduarda Macedo Osório Morais
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
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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.
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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
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