Magnetic Resonance Imaging in the Assessment and Management of Post-injection-Site Morphea

TL;DR

This paper presents a case where MRI was used to assess and manage morphea, a skin condition that can develop after an injection.

Contribution

The paper highlights the use of MRI in distinguishing between inflammation and fibrosis in post-injection morphea.

Findings

MRI revealed skin layer thickening and inflammation in a patient with morphea.

MRI helped differentiate between active inflammation and fibrosis in the affected area.

Abstract

Morphea, a form of localized scleroderma, can significantly affect individuals by causing skin tightening and discoloration. We describe the case of a 22-year-old woman who presented with progressive skin changes and discomfort in her right gluteal region following a history of an intramuscular injection in the right gluteal region. Clinical examination suggested morphea, prompting us to conduct an MRI to better understand the extent and nature of her condition. The MRI results revealed thickening of the skin layers and signs of inflammation, helping us differentiate between active inflammation and fibrosis. This case illustrates how MRI can provide crucial insights for managing morphea effectively.

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