Linear morphea or circumscribed scleroderma following closely a nerve distribution is of relatively common occurrence, but morphea associated with facial hemiatrophy is distinctly a rarity, if one may judge from the literature. Recently, two such cases have been observed in the Section on Dermatology and Syphilology of the Mayo Clinic. Barrs,1 in 1891, reported a case of this type. Since then, three other cases have been recorded, all from the British Isles. Barrs' patient was a woman, aged 27, whose face was markedly asymmetrical, and the skin and subcutaneous tissue on the right side, from the upper border of the orbit to the level of the teeth in the lower jaw, were atrophied. The eyeball was noticeably sunken. Definite diminution in sensation over the area supplied by the superior maxillary nerve was detectable. Alopecia was not present. The patient had had neuralgia of the right side of the face
OSBORNE ED. MORPHEA ASSOCIATED WITH HEMIATROPHY OF THE FACE. Arch Derm Syphilol. 1922;6(1):27–34. doi:10.1001/archderm.1922.02360010030005
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