Morphea

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FIG. 77.2. Face of a 19-year-old woman with diffuse cutaneous systemic sclerosis. Note loss of normal skin folds and retraction of lips.

FIG. 77.6. Close-up hand roentgenogram of a 46-year-old woman with limited cutaneous systemic sclerosis. Note extensive subcutaneous calcinosis.

FIG. 77.6. Close-up hand roentgenogram of a 46-year-old woman with limited cutaneous systemic sclerosis. Note extensive subcutaneous calcin...

Scleroderma. The dermis is characterized by large reticular dermal collagen bundles that are oriented parallel to the epidermis. The large size and loss of basket-weave pattern of these collagen bundles are abnormal. No appendages are apparent, as these are destroyed in the disease process.

Scleroderma. The dermis is characterized by large reticular dermal collagen bundles that are oriented parallel to the epidermis. The large ...

FIG. 77.11. Photomicrograph of the lung of a 52-year-old woman with diffuse cutaneous systemic sclerosis who died as the result of respiratory insufficiency. Note the dramatic interstitial fi osis and dilatation of air sacs (honeycomb lung).

FIG. 77.11. Photomicrograph of the lung of a 52-year-old woman with diffuse cutaneous systemic sclerosis who died as the result of respirat...

FIG. 77.20. A child with linear scleroderma involving the left lower extremity with evidence of a left knee flexion contracture. There is a plaque of morphea on the right thigh.

FIG. 77.20. A child with linear scleroderma involving the left lower extremity with evidence of a left knee flexion contracture. There is a...

FIG. 2.17. Juvenile dermatomyositis and scleroderma. A: Atrophic, hypopigmented lesions overlying extensor surfaces of interphalangeal joints, with periungual erythema typical of juvenile dermatomyositis. B: Linear scleroderma involving left lower extremity in a 12-year-old girl.

FIG. 2.17. Juvenile dermatomyositis and scleroderma. A: Atrophic, hypopigmented lesions overlying extensor surfaces of interphalangeal join...

scleroderma: early stage

Scleroderma: hand, amputated distal digits

Figure 10-195 SCLERODERMA: ACROOSTEOLYSIS. A. PA Hand. Note the early resorption of the distal tufts (arrows). Incidentally noted is a bandage (arrowhead). B. PA Hand. Observe the advanced resorption of the distal tufts.

Figure 10-195 SCLERODERMA: ACROOSTEOLYSIS. A. PA Hand. Note the early resorption of the distal tufts (arrows). Incidentally noted is a band...

Linear scleroderma: leg

Morphea: abdomen

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