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To the Editor:
I was interested in an article by Schreiber, Shapiro, and Sampsel in the December issue of the Archives. In it they describe a plaque of localized scleroderma which developed pseudosarcomatous fasciitis after trauma.We have seen a case in which morphea was simulated, although not present. In our case erythematous, edematous peau d'orange plaques and smooth pink to darker red finger-shaped lesions have the specific pathology of this unusual phenomena rather than morphea.Perhaps Schreiber et al have elucidated a clinical facet of this puzzling disorder. Could morphealike lesions be part of the early course of this disease?
Yaffee HS. PSEUDOSARCOMATOUS FASCIITIS. Arch Dermatol. 1966;93(5):633–634. doi:10.1001/archderm.1966.01600230137037
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