Figure 1: (a) Regular rounded nodule above the upper lip. (b) Pearly white dermoscopic appearance.

Morphea is a sclerotic condition limited to the skin corresponding to various clinical entities depending on the extension of the lesions, their linear nature, and their depth [1]. It is a relatively rare condition in children. Although almost never life-threatening, it may in some cases be responsible for functional and/or esthetic disability [2] with a major impact on quality of life, hence the importance of its early diagnosis and treatment. Herein, we report the case of juvenile morphea in plaques. A ten-year-old child with a history of the first-degree consanguinity of the parents and a family atopic condition presented with four oval, hyperpigmented plaques on the thorax with a pearly-white center (Fig. 1), which were sclerotic on palpation. Dermoscopy revealed an appearance resembling a white cloud (Fig. 2). The rest of the clinical examination was unremarkable. Raynaud’s phenomenon was absent, the genital tract was intact, and no visceral involvement was noted. A skin biopsy was performed confirming the diagnosis of morphea. The child was treated with dermocorticoids with good evolution.

Sir, Neutrophilic urticarial dermatosis (NUD) is a recently described entity part of the spectrum of neutrophilic dermatoses (ND). It is often associated with inflammatory diseases or neoplasms, such as hemopathies. Herein, we report the case of a 67-year-old patient with a history of pulmonary tuberculosis, treated and declared cured, chronic obstructive pulmonary disease, operated prostatic adenoma, smoking at a rate of 50 pack-years, weaned four months ago, alcoholism, and cannabis use, weaned sixteen years ago. The patient presented with non-itchy, slightly infiltrated, maculopapular, erythematous-to-purplish plaques, which were present only in the extremities of the upper and lower limbs (Figs. 1a – 1c). The rash had persisted for almost ten years in relapses or remissions and progressed against a background of fever, polyarthralgia, and asthenia.

No abstract