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A case of linear morphoea mistaken for reflex sympathetic dystrophy

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Singapore Med J 2013; 54(3): e50-e52; http://dx.doi.org/doi:10.11622/smedj.2013057
A case of linear morphoea mistaken for reflex sympathetic dystrophy

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Thng TG, Wong KY
Correspondence: Dr Steven Thng, steventhng@nsc.gov.sg

ABSTRACT
Morphoea, or localised scleroderma, is a disease entity with poorly understood pathogenesis. Early diagnosis of the condition is crucial in order to prevent permanent morbidity. However, initial presentations of morphoea can be nonspecific and easily mistaken for other conditions, resulting in late treatment and permanent disability. We report a case of linear morphoea in a 22-year-old man who was initially diagnosed with reflex sympathetic dystrophy. By the time the diagnosis of morphoea was confirmed, the patient had already developed contractures.

Keywords: contractures, linear morphoea, reflex sympathetic dystrophy
Singapore Med J 2013; 54(3): e50–e52; doi:10.11622/smedj.2013057

http://smj.org.sg/sites/default/files/5403/5403cr1.pdf

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