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Progressive hemifacial atrophy is a rare, unilateral, atrophic craniofacial form of morphea involving the dermis, subcutaneous tissue, fat, muscle, and even bone. We report a case of a child having progressive hemifacial atrophy, presented with rapidly progressive neurological symptoms and associated radiological manifestations. In this case of hemifacial atrophy, the sensitivity of MRI in detecting intracranial lesions is demonstrated. Recommendations for imaging these patients are proposed. [ABSTRACT FROM AUTHOR]

Generalized disabling pansclerotic morphea is a rare and mutilating form of morphea involving the dermis, subcutaneous tissue, fat, muscle, and even bone. It most often occurs in young children but adults can also be affected. We report a case of rapidly progressing and disabling adult onset generalized pansclerotic morphea, which responded well to methotrexate and steroid pulse therapy. [ABSTRACT FROM AUTHOR]