A linear atrophic and hyperpigmented plaque on the face
How to cite this article: Narayanan A, Bhattacharyya A. A linear atrophic and hyperpigmented plaque on the face. CosmoDerma 2022;2:103.
A 45-year-old female patient presented to us with a linear, well-defined, hyperpigmented atrophic, and depressed plaque on the right paramedian forehead extending from the frontal hairline to the nasion of the nose [Figure 1] since early childhood. The lesion extended 2 cm into the frontal scalp with overlying scarring alopecia. There was no pruritus or lilac border present. She did not have any history of seizures, headache, or ocular complaints. Based on the clinical findings, we made a diagnosis of en coup de sabre morphea. It presents like the “cut of a sabre.” Baseline MRI brain and ophthalmological examination are recommended in such patients. Active morphea can be treated using methotrexate, mycophenolate mofetil, and corticosteroids. Treatment options for burnt out/inactive lesions include autologous fat transfer and filler injection with hyaluronic acid or polymethylmethacrylate.
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Patient’s consent not required as patient’s identity is not disclosed or compromised.
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There are no conflicts of interest.
- Therapeutic and reconstructive management options in scleroderma (Morphea) en coup de sabre in children and adults. A systematic literature review. J Clin Med. 2021;10:4517.
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