Volume 104, Issue 4, Pages (October 1993)

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Volume 104, Issue 4, Pages 1304-1305 (October 1993) Severe Extrapulmonary Thoracic Restriction Caused by Morphea, a Form of Localized Scleroderma Samuel M. Aguayo, M.D., F.C.C.P., Christy L. Richardson, M.D., Jesse. Roman, M.D. CHEST Volume 104, Issue 4, Pages 1304-1305 (October 1993) DOI: 10.1378/chest.104.4.1304 Copyright © 1993 The American College of Chest Physicians Terms and Conditions

FIGURE 1A (upper). Generalized morphea involving the thoracoabdominal region (anterior view). This wood-like hyperpigmented lesion surrounded the patient's chest and abdomen like a belt. 1B (lower). Thin-section computed tomographic scan of the chest demonstrating pericardial and mediastinal lipomatosis but no significant lung parenchymal disease. The minimal abnormalities in the posterior dependent areas, which could be atelectasis, could not explain the severe restrictive ventilatory defect in this patient. CHEST 1993 104, 1304-1305DOI: (10.1378/chest.104.4.1304) Copyright © 1993 The American College of Chest Physicians Terms and Conditions