2020, Number 3
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Dermatología Cosmética, Médica y Quirúrgica 2020; 18 (3)
Line Sign: Histopathological Finding in Diagnosis of Morphea at Dr. Manuel Gea González General Hospital
Amutio BF, Colmenero MJO, Vega MME
Language: Spanish
References: 9
Page: 178-181
PDF size: 329.04 Kb.
ABSTRACT
Background: localized scleroderma or morphea, is an idiopathic
inflammatory disease characterized by thickening of the
skin, more frequently in women (2.6:1). Histopathological findings
are essential for the diagnosis.
Objective: determine the presence of the “line sing” as histopathological
finding in patients with morphea.
Methods: a retrospective review of 30 biopsies of morphea,
to determine the presence of a new histological finding called
“line sing” a prominent, straight interface between subcutis and
adjacent collagen. Helpful for the diagnosis.
Results: after analyzed 30 biopsies, only in 13 (43.3%) the “line
sing” was observed.
Conclusions: the histopathological “line sign” is useful for the
diagnosis of morphea, however this is a new histological finding,
and there are only a few reported cases. More comparative
studies should be performed to confirm it.
REFERENCES
Rebollo Domínguez N, Gutiérrez Mendoza D, Fonte Avalos V y Vega Memije E, Morphea review, Dermatología cmq 2007; 5(4):224-33.
Fleischmajer R y Nedwich A, Generalized morphea, histology of the dermis and subcutaneous tissue, Arch Derm 1972; 106:509-14.
Walters R, Pulitzer My Kamino H, Elastic fiber pattern in scleroderma/ morphea, J Cutan Pathol 2009; 36:952-7.
Leitenberger JJ, Cayce RL y Haley RW, Distinct autoimmune syndromes in morphea: a review of 245 adult and pediatric cases, Arch Dermatol 2009; 145:545-50.
Ackermann AB, Böer A, Bennin B y Gottlieb GJ, Histologic diagnosis of inflammatory diseases: a method by pattern analysis, William & Wilkins, 1997, pp. 1760-64.
Horger M, Fierlbeck G, Kuemmerle-Deschner J et al., mri findings in deep and generalized morphea (localized scleroderma), Am J Roentgenol 2008; 190:32-9.
Walker D, Susa JS, Currimbhoy S y Jacobe H, Histopathological changes in morphea and their clinical correlates: results from the morphea in adults and children cohort v, J Am Acad Dermatol 2017; 76:1124-30.
Montgomery H, O’Leary PA y Ragsdale WE Jr., Dermatohistopathology of various types of scleroderma, ama Arch Derm 1957; 75:78-87.
Yang S, Draznin M y Fung MA, The “line sign” is a rapid and efficient diagnostic “test” for morphea: clinicopathological study of 73 cases, Am J Dermatopathol 2018; 40:873-78.