title: Adult-onset unilateral disabling pansclerotic morphea.
abstract: Disabling pansclerotic morphea (DPM) is a rare, severe, and mutilating form of morphea, involving the dermis, subcutaneous tissue, fat, muscle, and even bone. It is usually seen before the age of 14 years, with the patient complaining of arthralgia and stiffness at the time of onset. We report a case of unilateral adult-onset DPM with sparing of the face. Within a few months of onset, painful contracture deformities of the hand, elbow, and shoulder joints developed, impairing the patient's normal daily activities. We are reporting this case because of the unusual presentation: DPM in an adult, with history of trauma in childhood and rapid onset of complications, is rare.
authors.affiliation: Department of Dermatology, Venereology, and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (Meghe), Wardha, Maharashtra, India.
authors.forename: Adarshlata
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Dermatology, Venereology, and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (Meghe), Wardha, Maharashtra, India.
authors.forename: Kritika
authors.initials: K
authors.lastname: Singhal
authors.affiliation: Department of Dermatology, Venereology, and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (Meghe), Wardha, Maharashtra, India.
authors.forename: Sanjiv
authors.initials: S
authors.lastname: Choudhary
authors.affiliation: Department of Dermatology, Venereology, and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (Meghe), Wardha, Maharashtra, India.
authors.forename: Shazia
authors.initials: S
authors.lastname: Bisati
authors.affiliation: Department of Dermatology, Venereology, and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (Meghe), Wardha, Maharashtra, India.
authors.forename: Mallika
authors.initials: M
authors.lastname: Arora
keywords: Adult; disabling pansclerotic morphea; methotrexate; systemic corticosteroids