Case Number : 109 Posted By: Guest

Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

Sorry for the problem with the comments. We will show this case tomorrow so that you can add comments. Phillip

Submitted on 10/11/2010 19:01
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Maria claudia - FEDERICO LLERAS (BOGOTÁ) Wrote:

MORPHEA

Submitted on 10/11/2010 00:09
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Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

Well done, all who spotted the melanin pigment. This represents incontinence and therefore indicates that there has beeen a prior episode of interface dermatitis. The scleredermiform background in the context of the melanin would make late GVHD the most likely diagnosis.

Submitted on 09/11/2010 18:39
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Eman El-Nabarawy - Cairo university (Egypt) Wrote:

Sclerodermoid GVHD (sclerodermoid changes with papillary dermal melanophages).

Submitted on 09/11/2010 14:47
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Donald Gates - (USA) Wrote:

Morphea vs sclerodermoid GVHD prefer the latter

Submitted on 09/11/2010 14:33
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Miah Singh - (Uk) Wrote:

I agree with Carlos and favour chronic GVHD as there seems to be dermal pigmentation

Submitted on 09/11/2010 13:21
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Rodrigo Restrepo - UPB/CES (Mdlln, Colombia) Wrote:

Chronic graft versus host disease with sclerodermatous changes

Submitted on 09/11/2010 13:02
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Marcela Saeb Lima - Instituto Nacional de Ciencia Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Morphea vs sclerodermoid GVHD, square punch biopsy....

Submitted on 09/11/2010 11:27
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Graham Reilly - Princess Elizabeth Hospital (Guernsey) Wrote:

Sclerosis of dermal collagen surrounding fat and sweat glands.Looks consistent with Morphoea

Submitted on 09/11/2010 11:06
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ANDREW DANCKWERTS - WITS UNIVERSITY, JHB (JHB, RSA) Wrote:

MORPHEA

Submitted on 09/11/2010 10:35
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Richard Carr - Warwick (UK) Wrote:

I would also mention sclerodermoid GVHD (in view of the "dyspigmentation")

Submitted on 09/11/2010 10:33
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Carlos B. - Consultant (Spain) Wrote:

Sclerodermoid condition - number of differentials including morphea, scleredema, PCT, radiation induced change, late GVHD - cannt think of anything else!

Submitted on 09/11/2010 10:31
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Morphea

Submitted on 09/11/2010 08:30
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Thickened homogenized collagen affecting the whole dermis and extending deeply in the subcutaneous tissue, I thought of Morphea Profunda.

Submitted on 09/11/2010 05:04
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