Morphea guttata L94.0

Small-spotted, disseminated variant with barely 0.5 cm, whitish, surface-smooth patches or barely palpable, flat papules. A "lilac ring" is usually absent in this circumscribed scleroderma variant. Systemic involvement is not known in this variant.

trunk, rarely extremities, no infestation of face, capillitium, genitalia

Clinical differentiation from extragenital lichen sclerosus (white spot disease) is difficult. However, the guttate form of morphea lacks the crinkly shiny surface of lichen sclerosus.

1. Russell B (1947) Morphœa guttata. Proc R Soc Med 40:506.
2. Stejskalová A et al (1990) Papulosis maligna atrophicans (Degos' syndrome). Sb Lek 92:1-5.
3. Wiliams AW (1912). Morphoea guttata. Proc R Soc Med. 5(Dermatol Sect):97.