Today's Medical Oddity
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I'd never heard of this - but then, I don't get derm - at all.
A 70-year-old woman presented with a 1-year history of progressive indentation and darkening of the skin of her forehead. On examination, there was a linear depression on the forehead that extended to the frontal scalp.
En coup de sabre variant of linear morphea (LM) is a rare sclerotic skin disorder characterized by disfiguring linear depression of the frontal or frontoparietal forehead. Current attempts for cosmetic correction of atrophic lesions must be preceded by an evaluation of disease activity of LM, either by a sufficient clinical assessment or histologic evidence. Corrective procedures including corrective surgery, autologous fat grafting, hyaluronic acid filler injections were performed with varying degrees of success; still, there is a need for treatment options with non-invasive and long-term maintenance effects.
