Dermatology Department, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Dermatology Department, Instituto Nacional de Pediatría, Mexico City, Mexico.
Pediatr Dermatol. 2022 Mar;39(2):275-280. doi: 10.1111/pde.14945. Epub 2022 Feb 18.
Morphea and facial capillary malformations (port-wine stains) are distinct conditions that can affect the pediatric population. Early localized morphea mimicking a capillary malformation is an uncommon clinical presentation. We present two new cases of girls, aged 2 and 3 years, who presented with erythematous patches, initially diagnosed as capillary malformations, which were later diagnosed as morphea. We also performed a literature review, yielding 12 additional cases that underscore that the unusual presentation of morphea may delay correct diagnosis. Although early management of morphea reduces long-term sequelae, it is important to delay laser treatment for selected acquired vascular malformations, until the diagnosis of morphea is excluded.
硬斑病和面部毛细血管畸形（葡萄酒色斑）是两种不同的疾病，可影响儿科人群。早期局限性硬斑病类似于毛细血管畸形，这是一种不常见的临床表现。我们报告了两例新的病例，均为 2 岁和 3 岁的女孩，最初表现为红斑性斑块，被诊断为毛细血管畸形，后来被诊断为硬斑病。我们还进行了文献复习，发现了另外 12 例病例，这进一步强调了硬斑病的不典型表现可能会延迟正确诊断。尽管早期治疗硬斑病可以减少长期后遗症，但对于某些获得性血管畸形，在排除硬斑病诊断之前，延迟激光治疗是很重要的。
