Linear morphs

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The study retrospectively examined 18 cases of linear morphea (ML) a rare skin disease at Charles Nicolle Hospital between 2000 and 2015.MLs predominantly affected women (M/F sex ratio 0.63) and young people (mean age 14.94). Most lesions are located on the limbs. Joint involvement such as arthralgia was the most frequent extracutaneous complication.Initial treatment consisted of corticosteroids but more effective management was achieved with methotrexate (MTX). Prognosis is generally good despite possible cosmetic sequelae. However complications (bone and joint damage diabetes) and recurrences have been observed in some patients.The study limited by its retrospective and monocentric nature underlines the importance of treatment combining corticosteroids and MTX in line with the recommendations of the Childhood Arthritis and Rheumatology Research Alliance (CARRA).
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