Reflectance Confocal Microscopy Applied to Linear (en Coup de Sabre) Morphea.

Band-like alopecia Linear scleroderma Reflectance confocal microscopy

Journal

Skin appendage disorders
ISSN: 2296-9195
Titre abrégé: Skin Appendage Disord
Pays: Switzerland
ID NLM: 101670617

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 14 11 2019
accepted: 22 02 2020
entrez: 14 7 2020
pubmed: 14 7 2020
medline: 14 7 2020
Statut: ppublish

Résumé

En coup de sabre morphea is a clinical variant of morphea, presenting as a linear depressed, atrophic area in the paramedian forehead or the frontoparietal scalp, resembling a stroke from a sword. It affects the skin and subcutaneous connective tissues, with possible extension to the underlying musculature, cartilage, and bone and variable association with neurologic symptoms. A 50-year-old woman presented to our clinic for evaluation of an atrophic lesion on her forehead and scalp appearing 1 year before, progressively extending over time. An alopecic atrophic area involving the skin and subcutaneous tissues of her right forehead and scalp arranged in a linear fashion with an "en coup de sabre" appearance was observed in relation with hair loss in the affected area. Reflectance confocal microscopy showed marked hyperreflective areas with severe eccrine gland atrophy. All sebaceous glands had disappeared, with sporadic follicular persistence reduction. Histopathological examination of a punch biopsy specimen taken from a central parietal alopecic area was consistent with a diagnosis of morphea. To our knowledge, this is the first report regarding the use of reflectance confocal microscopy as an ancillary diagnostic technique in linear localized morphea of the scalp and face. This noninvasive technique may represent a useful tool in distinguishing between early stages of the disease, with prevalence of inflammatory lymphocytic infiltrate, and late stages characterized by more prominent sclerosis with mild or absent signs of inflammation.

Identifiants

pubmed: 32656238
doi: 10.1159/000506748
pii: sad-0006-0171
pmc: PMC7325220
doi:

Types de publication

Case Reports

Langues

eng

Pagination

171-174

Informations de copyright

Copyright © 2020 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

All authors have not conflict of interest.

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Auteurs

Sara Mazzilli (S)

Dermatology Unit, Department of "Medicina dei Sistemi," Tor Vergata University, Rome, Italy.

Laura Vollono (L)

Dermatology Unit, Department of "Medicina dei Sistemi," Tor Vergata University, Rome, Italy.

Terenzio Cosio (T)

Dermatology Unit, Department of "Medicina dei Sistemi," Tor Vergata University, Rome, Italy.

Michele Donati (M)

Department of Surgical Pathology, Campus Biomedico, Rome, Italy.

Arianna Piccolo (A)

Dermatology Unit, Department of "Medicina dei Sistemi," Tor Vergata University, Rome, Italy.

Cosimo Di Raimondo (C)

Dermatology Unit, Department of "Medicina dei Sistemi," Tor Vergata University, Rome, Italy.

Elena Campione (E)

Dermatology Unit, Department of "Medicina dei Sistemi," Tor Vergata University, Rome, Italy.

Luca Bianchi (L)

Dermatology Unit, Department of "Medicina dei Sistemi," Tor Vergata University, Rome, Italy.

Classifications MeSH