title: Post-Irradiation Morphea: Case report and review of the literature.
abstract: BACKGROUND
  Post-irradiation morphea (PIM) is an entity documented in the literature although still not mentioned in most of the dermatological textbooks with a frequency approximately 2 out of every 1000 patients who received radiotherapy. Most of the cases are misdiagnosed as recurrent or metastatic carcinoma.
  
  
  METHODS
  We report on a 64-year-old woman who was treated with radiotherapy for breast cancer. Two years and eight months after the first dose of radiotherapy, she developed localized morphea in the irradiated area.
  
  
  CONCLUSIONS
  We report on a new case with a literature review and discuss pathogenesis, treatment modalities and post irradiation subcutaneos reactions mimicking PIM. Around 54 cases of post-irradiation morphea (PIM) were identified in the literature.
authors.affiliation: Department of Dermatology and Allergy Biederstein, Technische Universität München, Munich, Germany.
authors.forename: Ammar
authors.initials: A
authors.lastname: Alhathlool
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Hein
authors.forename: Christian
authors.initials: C
authors.lastname: Andres
authors.forename: Johannes
authors.initials: J
authors.lastname: Ring
authors.forename: Bernadette
authors.initials: B
authors.lastname: Eberlein
keywords: adverse event; morphea; radiation; scleroderma