A 45-year-old woman presented with indurated plaques involved large portions of  the trunk and extremities of 5 years duration. On examination, wide spread sclerotic indurated areas with hyperpigmentation were seen. Serological tests for connective tissue disease were non-reactive and skin biopsy was consistent with morphea. The patient has been treated with an oral hydroxychloroquine 400 mg/day plus topical corticosteroid.

A case presented by Dr. Ayman Abdelmaksoud, MD (Egypt).