Solitary fibrosing paraspinal plaque: Solitary morphoea profunda?

Robert Kirsner, J. B. Pardes, V. Falanga

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Solitary morphoea profunda is a recently described morphological variant of localized scleroderma. Two of the five reported patients had a solitary fibrotic plaque in the paraspinal region. We report a 16 year-old boy with a solitary fibrotic paraspinal plaque which, on histological examination, showed dermal and subcutaneous sclerosis, with a polymorphous infiltrate including plasma cells and eosinophils. Laboratory tests were either negative or normal, except for mild peripheral blood eosinophilia. Antinuclear antibodies were not detected, and the patient had no evidence of Borrelia infection. Magnetic resonance imaging (MRI) showed that the process involved the subcutaneous tissue, but did not extend to the underlying bone. As half of the patients with this entity (three of six) now described have had a solitary fibrotic plaque in a paraspinal location, we suggest that it may be premature to classify all these cases as being a variant of morphoea. We propose the use of the descriptive term solitary fibrosing paraspinal plaque, until the aetiology or aetiologies of this condition are better understood.

Original languageEnglish
Pages (from-to)99-101
Number of pages3
JournalBritish Journal of Dermatology
Volume128
Issue number1
DOIs
StatePublished - Jan 25 1993

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Localized Scleroderma
Borrelia Infections
Antinuclear Antibodies
Subcutaneous Tissue
Eosinophilia
Sclerosis
Plasma Cells
Eosinophils
Magnetic Resonance Imaging
Bone and Bones
Skin

ASJC Scopus subject areas

  • Dermatology

Cite this

Solitary fibrosing paraspinal plaque : Solitary morphoea profunda? / Kirsner, Robert; Pardes, J. B.; Falanga, V.

In: British Journal of Dermatology, Vol. 128, No. 1, 25.01.1993, p. 99-101.

Research output: Contribution to journalArticle

Kirsner, Robert ; Pardes, J. B. ; Falanga, V. / Solitary fibrosing paraspinal plaque : Solitary morphoea profunda?. In: British Journal of Dermatology. 1993 ; Vol. 128, No. 1. pp. 99-101.
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