image

Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Brief Report
Case Report
Editorial
Focus
Images/Instrument in Dermatology/Dermatosurgery
Innovations
Letter to the Editor
Living Legends
Looking back in history
Original Article
Perspective
Resident Forum
Residents Forum
Review Article
Spot the Diagnosis
Tropical Dermatology
Visual Treats in Dermatology
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Brief Report
Case Report
Editorial
Focus
Images/Instrument in Dermatology/Dermatosurgery
Innovations
Letter to the Editor
Living Legends
Looking back in history
Original Article
Perspective
Resident Forum
Residents Forum
Review Article
Spot the Diagnosis
Tropical Dermatology
Visual Treats in Dermatology
View/Download PDF
image

Translate this page into:

Visual Treats in Dermatology
2022
:2;
103
doi:
10.25259/CSDM_113_2022

A linear atrophic and hyperpigmented plaque on the face

Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
Corresponding author: Arunachalam Narayanan, Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India. narayanan359@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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.[1]

Figure 1:: 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.

Declaration of patient consent

Patient’s consent not required as patient’s identity is not disclosed or compromised.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

  1. , , , , , . 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.
    [Google Scholar]

Fulltext Views
816

PDF downloads
17
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections