More about Morphea
Morphea presents as circumscribed patches of induration with characteristic lilac ring (reddish-purple border) in early stages. Lesions typically begin as erythematous or violet patches that gradually harden and become sclerotic. Hypopigmentation or hyperpigmentation develops at lesion sites. Common locations include lower abdomen, flanks, upper back, and lower extremities.
Keep reading about Morphea
Morphea can be superficial (affecting dermis only) or involve subcutaneous tissue and muscle. Linear morphea, including the en coup de sabre form on the forehead and scalp, can cause significant deformity, particularly when involving the face or affecting function over joints. En coup de sabre with facial involvement can cause hemifacial atrophy. Internal organ involvement, which defines systemic sclerosis, does not occur with morphea, though a minority of people, especially children, have joint pain or fatigue.
What are the symptoms of Morphea?
These are common symptoms of Morphea, and how strong they are varies from person to person.
- Hardened, thickened patches of skin with well-defined borders
- Purple or reddish rings around patches (lilac ring sign)
- Hypopigmentation or hyperpigmentation of affected areas
- Skin tightness and loss of normal skin texture
- Itching or burning sensations
- Contractures and functional impairment if involving joints
Who gets Morphea?
Morphea can develop at any age but has 2 peaks, one in children aged 2 to 14 and one in adults in their 40s, and is about 4 times more common in women than men. It occurs across all racial and ethnic groups, though some studies suggest higher prevalence in Caucasians. The disease is not inherited, though autoimmune tendency may run in families.
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Side effects people have reported to the FDA
Side effects people have reported to the FDA
Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.
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Diagnosis and genetic testing
Genetic testing for Morphea
Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.
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Trusted Morphea resources
Reputable organizations and medical references for learning more about Morphea, including disease registries, foundation resources, and clinical guidelines.
- National Organization for Rare Disorders (NORD)
- American Academy of Dermatology Scleroderma Resources
- Peterson et al., The epidemiology of morphea in Olmsted County 1960-1993, J Rheumatol 1997 (PubMed)
- Papara et al., Morphea: the 2023 update, Front Med 2023 (PubMed)
- Zulian et al., Methotrexate treatment in juvenile localized scleroderma, Arthritis Rheum 2011 (PubMed)
- Scleroderma Foundation