Morphoea — RACP Paediatrics MCQ

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ModerateRheumatologyMorphoeaRACP Paediatrics

A 7-year-old girl presents with painless, non-tender, skin-coloured plaques on the trunk that are indurated and shiny. There is no systemic involvement. What is the diagnosis?

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Correct answer: A — Morphoea (localised scleroderma)

Morphoea (localised scleroderma): localised fibrosis of the skin without systemic involvement. Unlike systemic sclerosis, it does not affect internal organs. Subtypes include plaque, linear (en coup de sabre on the face), and generalised morphoea. Treatment depends on severity: topical steroids, phototherapy, or systemic immunosuppression for extensive disease.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Scleroderma