Localized scleroderma (morphea)

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Localized scleroderma (morphea). Wellcome Collection. Attribution 4.0 International (CC BY 4.0). Source: Wellcome Collection.

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This is a slightly elevated and atrophic patch over the medial right ankle. Upon examination there was a slight loss of pain sensation and sweat function tests showed a loss of sweat response in the area (in scleroderma this is caused by atrophy of sweat glands). In scleroderma the skin becomes adherent to underlying structures and atrophic.

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