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DOI:10.2214/AJR.07.2163
AJR 2008; 190:32-39
© American Roentgen Ray Society


Pictorial Essay

MRI Findings in Deep and Generalized Morphea (Localized Scleroderma)

Marius Horger1, Gerhard Fierlbeck2, Jasmin Kuemmerle-Deschner3, Nikolay Tzaribachev3, Manfred Wehrmann4, Claus D. Claussen1 and Jan Fritz1,5

1 Department of Diagnostic Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, Tübingen 72076, Germany.
2 Department of Dermatology, Eberhard-Karls-University, Tübingen 72070, Germany.
3 Department of Pediatrics, Eberhard-Karls-University, Tübingen 72076, Germany.
4 Department of Pathology, Eberhard-Karls-University, Tübingen 72076, Germany.
5 Present address: Russel H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21287.

OBJECTIVE. Our objective was to describe the spectrum of MRI features in patients with deep and generalized morphea.

CONCLUSION. Imaging features of morphea are not specific and usually overlap with those of other disorders involving the skin, fascia, and musculature, such as some types of fasciitis, myositis, and so forth. Nevertheless, the imaging features of morphea reflect pathomorphologic changes of this rare disorder and enable a complete assessment of the disease extent, including depth of infiltration and disease activity.

Keywords: deep morphea • generalized morphea • localized scleroderma • morphea • MRI


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