Recent Developments in Diagnosis and Assessment of Morphea

Author:

Nouri Sarah,Jacobe Heidi

Publisher

Springer Science and Business Media LLC

Subject

Rheumatology

Reference28 articles.

1. • Johnson W, Jacobe H: Morphea in adults and children (MAC) cohort II: Patients with morphea experience delay in diagnosis and large variation in treatment. J Am Acad Dermatol 2012 Feb 28. [Epub ahead of print]. This cross sectional survey of patients enrolled in the Morphea in Adults and Children Cohort underscores often significant delays in diagnosis and treatment of patients with morphea. Further, treatments prescribed for patients varied largely dependent on the specialty of treating physician. The results of this study support the need for treatment plans accepted across specialties.

2. Weibel L, Laguda B, Atherton D, Harper JI. Misdiagnosis and delay in referral of children with localized scleroderma. Br J Dermatol. 2011;165:1308–13.

3. Li SC, Torok KS, Pope E, et al. Development of consensus treatment plans for juvenile localized scleroderma. Arthritis Care Res. 2012;64:1175–85.

4. Zulian F, Athreya BH, Laxer R, et al. Juvenile localized scleroderma: clinical and epidemiological features in 750 children. An international study. Rheumatology (Oxford). 2006;45:614–20.

5. • Saxton-Daniels S, Jacobe HT: An evaluation of long-term outcomes in adults with pediatric-onset morphea. Arch Dermatol 2010, 146:1044-5. This cross-sectional survey of adults with pediatric onset morphea in the Morphea in Adults and Children Cohort is one of the first to report continued episodes of active morphea well into adulthood of these patients. The study also reports significant impact on life quality in these patients which was associated with the number of lesions and presence of functional impairment. These findings indicate children with morphea will require close follow-up into adulthood.

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