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Annales de Dermatologie et de Vénéréologie
Vol 132, N° 2  - février 2005
pp. 130-132
Doi : AD-02-2005-132-2-0151-9638-101019-200512071
Nodules sur sclérodermie en plaque ou morphée
 

P. Bayle [1], J. Bazex [1], M.-C. Marguery [1], L. Lamant [2]
[1] Service de Dermatologie, Hôpital Purpan, Toulouse.
[2] Service d'Anatomo-pathologie, Hôpital Purpan, Toulouse.

Tirés à part : P. BAYLE [1]

[1] Service de Dermatologie, Hôpital Purpan, Pavillon Laporte, TSA 40031, 31059 Toulouse Cedex. bayle.p@chu-toulouse.fr

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Introduction

Les sclérodermies en plaques ou morphées apparaissent habituellement comme des lésions planes ou déprimées.

Observations

Nous rapportons 3 cas de morphée d'aspect atypique bigarré, alternant des zones pigmentées et dépigmentées, avec la présence de nodules ou de bandes scléreuses, survenues chez des hommes adultes.

Commentaires

La survenue d'éléments nodulaires sur des sclérodermies systémiques ou localisées, bien que rare, a été rapportée dans la littérature dès 1884 par Addisson. Ces nodules apparaissent habituellement au cours de l'évolution. Ces sclérodermies sont alors qualifiées de chéloïdiennes ou nodulaires. Nous rapportons 3 cas de nodules sur sclérodermies en plaque apparus dès l'apparition de la dermatose et où les sclérodermies avaient un aspect similaire pigmenté irrégulier inhabituel.

Abstract
Nodules on localized scleroderma or morphea.
Background

Localized scleroderma or morphea usually appears as flat or depressed lesions.

Observations

We report 3 cases of morphea with atypical appearance, alternating pigmented and depigmented patches with nodules or sclerous bands, occurring in adult men.

Discussion

The occurrence of nodular elements on generalized or localized scleroderma, although rare, was first reported in the literature by Addisson in 1884. These nodules usually appear during evolution. These scleroderma are then described as being keloidal or nodular. We report 3 cases of nodules on localized scleroderma which appeared at the beginning of the dermatosis and where the scleroderma had a similar unusual irregularly pigmented appearance.






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