Table 2.
Differential diagnosis of morphea types.
| Morphea type | Differential diagnoses | |||
|---|---|---|---|---|
| Limited morphea | ||||
| Early stage | Lichen sclerosus | |||
| Granuloma annulare | ||||
| Cutaneous mastocytosis | ||||
| Erythema cronicum migrans | ||||
| Porokeratosis Mibelli | ||||
| Mycosis fungoides | ||||
| Vitiligo | ||||
| Annular lichenoid dermatitis of youth (ALDY) | ||||
| Late stage prevalent atrophy prevalent sclerosis prevalent hyperpigmentation |
||||
| Lichen sclerosus | ||||
| Morpheaform injection-site reactions | ||||
| Scarring | ||||
| Acrodermatitis chronica atrophicans | ||||
| Lipodermatosclerosis | ||||
| Carcinoma en cuirasse | ||||
| Sclerosing congenital melanocytic nevus/ connective tissue nevi | ||||
| Morpheaform basal cell carcinoma | ||||
| Necrobiosis lipoidica | ||||
| Pretibial myxedema | ||||
| Postinflammatory hyperpigmentation | ||||
| Erythema discromicum perstans | ||||
| Cafe-au-lait spots | ||||
| Generalized morphea | ||||
| Systemic sclerosis (scleroderma) | ||||
| Scleredema | ||||
| Scleromyxedema | ||||
| Chronic graft-versus-host disease | ||||
| Porphyria cutanea tarda | ||||
| Primary systemic amyloidosis | ||||
| Nephrogenic systemic fibrosis | ||||
| Morpheaform sarcoidosis | ||||
| Paraneoplastic scleroderma-like syndromes (e.g., POEMS syndrome) | ||||
| Phenylketonuria | ||||
| Genetic disorders | ||||
| Linear morphea | ||||
| Panniculitis | ||||
| Localized lipodystrophy | ||||
| Steroid-induced atrophy | ||||
| Sclerosing nevus | ||||
| Lupus erythematosus profundus | ||||
| Focal dermal hypoplasia | ||||
| Reflex sympathetic dystrophy | ||||
| Diabetic cheiroartropathy | ||||
| Eosinophilic fasciitis | ||||
| Deep morphea | ||||
| Panniculitis | Scleredema | Lipodystrophy | Eosinophilic fasciitis | |