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Ongoing Story· Today

Rare Skin Disease Mistaken for Sunspots Diagnosed in Teen

2 developments

MakoHealth

Doctors Mistake Rare Skin Disease Symptoms for Sunspots in Teen

Translated & summarized from Mako by baba

CenterNeutral tone

Hebrew · 1 newsroom

A young woman diagnosed with the rare inflammatory skin disease morphea after years of being told her skin spots were sunspots. Doctors at Schneider Children's Medical Center eventually diagnosed the condition, which can affect muscles and bones. Early diagnosis and treatment are crucial to prevent irreversible damage. The patient's condition is now inactive, though the skin spots remain.

The story in 5 lines · by baba

  • A woman was diagnosed with morphea after doctors initially mistook her skin spots for sunspots.
  • Morphea is a rare inflammatory disease that causes skin hardening and can affect muscles and bones.
  • Early diagnosis and treatment are crucial to prevent irreversible damage, according to a Schneider doctor.
  • The patient received successful treatment with steroids and immunosuppressants at Schneider Children's Medical Center.
  • The condition can cause growth impairments and deformities in children, but is distinct from systemic scleroderma.

A 18-year-old woman, identified only as Noa, has been diagnosed with morphea, a rare inflammatory skin condition, after years of misdiagnosis. Initially, doctors dismissed the skin spots that appeared on her body when she was seven as sunspots. As the spots persisted and spread, further medical opinions suggested it might be a reaction to hair conditioner, leading her to wash her hair over a sink to avoid contact with her body. Eventually, Noa and her family sought further medical attention, leading to a diagnosis of morphea, a chronic inflammatory disease that causes skin hardening and can affect deeper tissues like muscles and bones.

Noa was treated at Schneider Children's Medical Center, where she received intravenous steroids and immunosuppressive medication. The treatment successfully controlled the disease, rendering it inactive, though the skin spots remain. Dr. Shiran Reiss-Hoss, a senior dermatologist at Schneider, emphasized that morphea is not merely an aesthetic issue, as it can lead to impaired growth in children's limbs, restricted movement, and permanent deformities, particularly if it affects the face or scalp.

Dr. Reiss-Hoss also clarified that morphea is distinct from systemic scleroderma, a more severe condition affecting blood vessels and internal organs. Dr. Rotem Tal, a senior rheumatologist at Schneider, noted that the initial symptoms can resemble bruises, contributing to diagnostic delays. Diagnosis typically involves a physical examination, sometimes supplemented by skin biopsies or imaging tests.

Treatment varies based on severity, ranging from topical therapies or phototherapy for mild cases to systemic medication for more severe or widespread conditions. Physical therapy may be used for movement issues, and reconstructive procedures can be considered after the disease becomes inactive. Schneider's multidisciplinary clinic offers combined dermatology and rheumatology assessments, with specialists in ophthalmology, neurology, orthopedics, and physiotherapy also involved as needed, alongside psychological support.

MakoCentre · Neve Ilan

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