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From time to time, we come across linear skin lesions. This can be very helpful diagnostically as there is a limited range of possible diagnoses. A careful history and examination of the morphology of the lesions usually sorts them out.
For each of the nine cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required.
Each case should take approximately 2 minutes to complete. There is a list of suggested further reading material at the end of the quiz.
Name these linear skin lesions.
Coup de sabre
What is the cause?
Localised scleroderma (morphoea) has a rare variant, linear scleroderma. It’s believed to be an autoimmune disease where an extracellular matrix protein is the likely antigen. The reason for linear lesions is not understood. It is known as coup de sabre when found on the scalp, and this usually affects children or young adults. Firm or hard linear permanent indentations may affect skin, subcutaneous tissue, underlying muscle and bone.