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The Lilac Ring of Early Morphea
This solitary, fairly well-defined whitish plaque, surrounded by a broad band of violaceous erythema is a classic presentation of the “lilac ring” phase of early morphea. Potent corticosteroids led to prompt resolution.
A 46-year-old woman presented with the new onset of a slightly stinging and burning, expanding patch on the upper abdominal skin. The patient was otherwise entirely healthy and ingesting no medications.
Key point: The lesion consists of a solitary, fairly well-defined whitish plaque, surrounded by a broad band of violaceous erythema. The area was not tender to the touch, but did feel firm to palpation. This is a classic presentation for the “lilac ring” phase of early morphea.
Treatment: Application of potent topical corticosteroids led to the prompt resolution of inflammation and to cessation of lesional expansion. Ultimately, the patient was left with a somewhat hard, slightly hypopigmented patch with a faint brown border, representing “burned out” (or inactive) morphea.
Note: This is a manifestation of localized scleroderma and is typically not associated with systemic signs or symptoms.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
