Ng Shanna Shan-Yi, Tay Yong-Kwang
a Department of Dermatology , Changi General Hospital , Singapore.
J Cosmet Laser Ther. 2015;17(5):277-80. doi: 10.3109/14764172.2015.1027225. Epub 2015 Aug 19.
The early inflammatory lesions of morphea may present with erythema or violaceous patches and plaques before evolving into areas of sclerosis. They have been misdiagnosed as acquired port-wine stains (PWSs). We report a previously well 7-year-old Chinese girl presenting with early facial morphea mimicking an acquired PWS with unusual histologic features of perineural inflammation. The presence of cutaneous perineural inflammation may be seen in a small percentage of cases of morphea and appears to be a feature of early inflammatory morphea. We report this case to highlight the importance in recognizing this entity and summarize the reported cases of inflammatory morphea mimicking acquired PWSs.
硬斑病的早期炎症性皮损在发展为硬化区域之前可能表现为红斑或紫红色斑片及斑块。它们曾被误诊为获得性葡萄酒色斑（PWS）。我们报告一例此前健康的7岁中国女孩，其早期面部硬斑病酷似获得性PWS，具有神经周围炎症这一不寻常的组织学特征。皮肤神经周围炎症可能在一小部分硬斑病病例中出现，似乎是早期炎症性硬斑病的一个特征。我们报告此病例以强调认识这一实体的重要性，并总结已报道的酷似获得性PWS的炎症性硬斑病病例。
