Turkish Journal of Geriatrics 2010 , Vol 13, Issue 1
SEVERE GENERALIZED MORPHEA: A DEVASTATING EVENTUALITY IN THE ELDERLY
Yusuf AYDIN1, İhsan ÜSTÜN2, Elif ÖNDER1, Adem GÜNGÖR1
1Düzce Üniversitesi Tıp Fakültesi İç Hastalıkları Anabilim Dalı DÜZCE
2Mersin Devlet Hastanesi Endokrinoloji MERSÄ°N
Morphea is a localized form of scleroderma characterized by sclerotic skin plaques. It is an uncommon fibrotic reaction limited to the skin and adjacent structures which is unaccompanied by visceral involvement. Although its cause is unknown; genetic, infectious and autoimmune mechanisms have been suggested in morphea. It is more common among children and young women. Topical corticosteroids, systemic corticosteroids methotrexate, penicillamin and topical tacrolimus 0.1% are used in treatment. UVA1 (340-450 nm) phototherapy may also be helpful. In this report we present a 72 year old man with severe generalized morphea. Besides dwelling on its etiopathogenesis, we are also touching upon the impact of the disease on this geriatric patient's functional and psychosocial capabilities. Keywords : Geriatric; Generalized morphea; Joint contractures