<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction:</bold> The aim of this presentation is to highlight the usefulness of high-frequency ultrasound (18 MHz) in localized morphea for: identification of the lesion, guided skin biopsy, quantification of skin thickness, evaluating the severity by measuring total echogenicity.<bold>Case presentation:</bold> A 62-year-old Caucasian woman was referred to the Dermatology Department for a well-circumscribed indurate plaque localized on the right side of the abdominal wall and thigh. On clinical examination, a large well-delimited, indurate plaque, silvery in the center and surrounded by a purplish-red halo (lilac ring) was noticed on the right side of the abdomen and thigh. An ultrasound-guided punch biopsy was carried out and the microscopic examination of the biopsy revealed moderate interstitial inflammatory infiltrate together with abundant collagen bundles in the dermis and subcutis and a diagnosis of localized morphea (scleroderma) was established. Ultrasonography was performed and skin thickness was measured using high-frequency US (18 MHz) and was found to be 3.1 mm to 3.9 mm.<bold>Conclusion:</bold> high frequency ultrasound is an inexpensive, easy to perform, noninvasive method, replacing surgical biopsy and offering a valuable quantification of skin fibrosis.</abstract>

Introduction: The aim of this presentation is to highlight the usefulness of high-frequency ultrasound (18 MHz) in localized morphea for: identification of the lesion, guided skin biopsy, quantification of skin thickness, evaluating the severity by measuring total echogenicity.Case presentation: A 62-year-old Caucasian woman was referred to the Dermatology Department for a well-circumscribed indurate plaque localized on the right side of the abdominal wall and thigh. On clinical examination, a large well-delimited, indurate plaque, silvery in the center and surrounded by a purplish-red halo (lilac ring) was noticed on the right side of the abdomen and thigh. An ultrasound-guided punch biopsy was carried out and the microscopic examination of the biopsy revealed moderate interstitial inflammatory infiltrate together with abundant collagen bundles in the dermis and subcutis and a diagnosis of localized morphea (scleroderma) was established. Ultrasonography was performed and skin thickness was measured using high-frequency US (18 MHz) and was found to be 3.1 mm to 3.9 mm.Conclusion: high frequency ultrasound is an inexpensive, easy to perform, noninvasive method, replacing surgical biopsy and offering a valuable quantification of skin fibrosis.

The Value of Ultrasonography in the Diagnosis and Monitoring of Localized Morphea — Case Report

Department of Dermatology, Nicolina Medical Center, Iași,

Department of Dermato-Physiology, Apollonia University, Iași,

“Gr. T. Popa” University of Medicine and Pharmacy, Iași,

Department of Surgery, University of Medicine and Pharmacy, Tîrgu Mureș,

Department of Histology, University of Medicine and Pharmacy, Tîrgu Mureș,

Department of Internal Medicine IV, University of Medicine and Pharmacy, Tîrgu Mureș,

Department of Pathology, University of Medicine and Pharmacy, Tîrgu Mureș,

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Introduction: The aim of this presentation is to highlight the usefulness of high-frequency ultrasound (18 MHz) in localized morphea for: identification of the...

The Value of Ultrasonography in the Diagnosis and Monitoring of Localized Morphea — Case Report

Publicado en línea: 23 oct 2016

Páginas: 193 - 196

Recibido: 22 ago 2016

Aceptado: 08 sept 2016

DOI: https://doi.org/10.1515/jim-2016-0037

Palabras clave
ultrasound, morphea, skin disease

© 2016 Anca Chiriac et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The Value of Ultrasonography in the Diagnosis and Monitoring of Localized Morphea — Case Report

Publicado en línea: 23 oct 2016

Páginas: 193 - 196

Recibido: 22 ago 2016

Aceptado: 08 sept 2016

DOI: https://doi.org/10.1515/jim-2016-0037

Palabras claveultrasound, morphea, skin disease

© 2016 Anca Chiriac et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
ultrasound, morphea, skin disease