- Morphea, or localized Scleroderma, is a skin-limited condition in which autoimmune-mediated inflammations causes hardening of the skin.
- It can occur in children and in adults and can become extensive in certain cases.
- Dr. Sherber focuses on topical therapy where appropriate. She endeavors to employ steroid-sparing strategies, such as treatment with topical calcineurin inhibitors or light therapy, when possible.
- In certain cases, we may engage colleagues at the Johns Hopkins Scleroderma Center for additional specialized evaluations.
- Dr. Sherber and her colleagues at Johns Hopkins were the first to describe the “tank top sign” in pansclerotic morphea, and first to define the features of keloidal Scleroderma in the skin.
- Micro-pulsed Nd:YAG Laser Genesis treatment is effective at fading Redness and purplish discoloration around inactive lesions, and can help to soften inactive lesions through deep heating of the dermis (the skin’s collagen layer).
- Fractionated non-ablative laser treatments such as Perméa fade pigmentation left behind from active lesions and enhance absorption of topical treatments.
Mineral sun protection, either with mineral-only formulations of sunscreen or with those that combine mineral and chemical sun filters, is emphasized in those with morphea because it will best prevent hyperpigmentation in areas of active inflammation.