Localized scleroderma

disease
On this page

Also known as circumscribed sclerodermalocalised fibrosing sclerodermalocalised scleroderma (disorder) [ambiguous]localized fibrosing sclerodermalocalized morphoealocalized scleroderma (disorder) [ambiguous]morpheaScleroderma, localisedScleroderma, localized

Summary

Localized scleroderma (MONDO:0019562) is a disease and 23 clinical trials. Top therapeutic interventions include imiquimod, calcipotriene, and crisaborole. A subtype of scleroderma — broader associated-gene and molecular evidence is on the parent page (see Disease family below).

At a glance

  • Prevalence: 1-9 / 100 000 (Europe) [Orphanet-validated]
  • Phenotypes (HPO): 55
  • Clinical trials: 23

Clinical features

Epidemiology

Prevalence records

1 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Point prevalence1-9 / 100 000EuropeValidated

Signs & symptoms

Clinical features (HPO)

55 HPO clinical features (Orphanet curated; top 50 by frequency):

HPO IDTermFrequency
HP:0001072Thickened skinVery frequent (80-99%)
HP:0002829ArthralgiaFrequent (30-79%)
HP:0011355Localized skin lesionFrequent (30-79%)
HP:0030053Stiff skinFrequent (30-79%)
HP:0031359Cutaneous sclerotic plaqueFrequent (30-79%)
HP:0000164Abnormality of the dentitionOccasional (5-29%)
HP:0000177Abnormality of upper lipOccasional (5-29%)
HP:0000324Facial asymmetryOccasional (5-29%)
HP:0000504Abnormality of visionOccasional (5-29%)
HP:0000554UveitisOccasional (5-29%)
HP:0000689Dental malocclusionOccasional (5-29%)
HP:0000953Hyperpigmentation of the skinOccasional (5-29%)
HP:0001053Hypopigmented skin patchesOccasional (5-29%)
HP:0001369ArthritisOccasional (5-29%)
HP:0001371Flexion contractureOccasional (5-29%)
HP:0002020Gastroesophageal refluxOccasional (5-29%)
HP:0002076MigraineOccasional (5-29%)
HP:0002232Patchy alopeciaOccasional (5-29%)
HP:0002315HeadacheOccasional (5-29%)
HP:0002960AutoimmunityOccasional (5-29%)
HP:0003198MyopathyOccasional (5-29%)
HP:0004426Abnormality of the cheekOccasional (5-29%)
HP:0006336Short dental rootsOccasional (5-29%)
HP:0009019Progressive loss of facial adipose tissueOccasional (5-29%)
HP:0010783ErythemaOccasional (5-29%)
HP:0011331Hemifacial atrophyOccasional (5-29%)
HP:0011821Abnormality of facial skeletonOccasional (5-29%)
HP:0025474Erythematous plaqueOccasional (5-29%)
HP:0033127Abnormality of the musculoskeletal systemOccasional (5-29%)
HP:0100537FasciitisOccasional (5-29%)
HP:0100560Upper limb asymmetryOccasional (5-29%)
HP:0100876Infra-orbital creaseOccasional (5-29%)
HP:0100899Sclerosis of finger phalanxOccasional (5-29%)
HP:0000077Abnormality of the kidneyVery rare (<1-4%)
HP:0000366Abnormality of the noseVery rare (<1-4%)
HP:0000490Deeply set eyeVery rare (<1-4%)
HP:0000520ProptosisVery rare (<1-4%)
HP:0000707Abnormality of the nervous systemVery rare (<1-4%)
HP:0000872Hashimoto thyroiditisVery rare (<1-4%)
HP:0001045VitiligoVery rare (<1-4%)
HP:0001250SeizureVery rare (<1-4%)
HP:0001297StrokeVery rare (<1-4%)
HP:0001626Abnormality of the cardiovascular systemVery rare (<1-4%)
HP:0002086Abnormality of the respiratory systemVery rare (<1-4%)
HP:0002384Focal impaired awareness seizureVery rare (<1-4%)
HP:0002633VasculitisVery rare (<1-4%)
HP:0003202Skeletal muscle atrophyVery rare (<1-4%)
HP:0003330Abnormal bone structureVery rare (<1-4%)
HP:0008066Abnormal blistering of the skinVery rare (<1-4%)
HP:0011138Abnormality of skin adnexa morphologyVery rare (<1-4%)

Identifiers

Disease identifiers

FieldValue
Canonical namelocalized scleroderma
Mondo IDMONDO:0019562
EFOEFO:1001361
MeSHD012594
Orphanet90289
DOIDDOID:8472
ICD-10-CML94.0
ICD-111430740369
NCITC72069
SNOMED CT201048007
UMLSC0036420
MedGen48586
GARD0007058
MedDRA10039712
Is cancer (heuristic)no

Also known as: circumscribed scleroderma · localised fibrosing scleroderma · localised scleroderma (disorder) [ambiguous] · localized fibrosing scleroderma · localized morphoea · localized scleroderma · localized scleroderma (disorder) [ambiguous] · morphea · Scleroderma, localised · Scleroderma, localized

Data availability: 6 cell lines.

Disease family

This is a subtype of scleroderma. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.

Classification path: disease › human disease › disease by body system or component › connective tissue disorderrheumatic disordersclerodermalocalized scleroderma

Related subtypes (2): systemic sclerosis, neonatal scleroderma

Subtypes (2): lipodermatosclerosis, linear scleroderma

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

No tiered GWAS variants or ClinVar records for this disease.

Genes & proteins

No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).

Function

No pathway enrichment — requires an associated-gene cohort.

Therapeutics

Drugs indicated for this disease

0 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
ImiquimodPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Crisaborole, Dupilumab.

Clinical trials & evidence

Clinical trials

Clinical trials: 23.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified13
PHASE23
PHASE32
PHASE1/PHASE22
EARLY_PHASE12
PHASE41

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03630198PHASE4COMPLETEDPain Outcomes Following Intralesional Corticosteroid Injections
NCT00147771PHASE3COMPLETEDImiquimod in Children With Plaque Morphea
NCT00230373PHASE3WITHDRAWNImiquimod 5% Cream in Plaque-type Morphea: A Pilot, Prospective Open-label Study
NCT00129428PHASE1/PHASE2COMPLETEDUltraviolet B (UVB) Light Therapy in the Treatment of Skin Conditions With Altered Dermal Matrix
NCT00479934PHASE2COMPLETEDEfficacy and Safety of Imatinib in Scleroderma
NCT03351114PHASE2COMPLETEDPilot Study Evaluating the Efficacy of a Topical PDE4 Inhibitor for Morphea
NCT03740724PHASE1/PHASE2TERMINATEDA Study of FCX-013 Plus Veledimex for the Treatment of Moderate to Severe Localized Scleroderma (Morphea)
NCT04200755PHASE2COMPLETEDClinical Trial to Evaluate Efficacy and Safety of Dupilumab in Localized Scleroderma
NCT02411643EARLY_PHASE1TERMINATEDMolecular Effects of Topical Calcipotriene on Morphea
NCT04656704EARLY_PHASE1WITHDRAWNHyaluronidase in Treating Oral Microstomia in Patients With Sclerosing Skin Disease
NCT01808937Not specifiedRECRUITINGMorphea in Adults and Children (MAC) Cohort Study: A Morphea Registry and DNA Repository
NCT04922736Not specifiedACTIVE_NOT_RECRUITINGPatient Reported Outcomes With UVA-1 Therapy for Treatment of Sclerosing Skin Diseases
NCT06646146Not specifiedNOT_YET_RECRUITINGStudy on the Efficacy of Autologous Fat Grafting in Improving Hair Transplantation Outcomes for Patients With Localized Scleroderma-Related Alopecia
NCT07182981Not specifiedRECRUITINGPatients Diagnosed With Scleroderma and Their Chewing and Swallowing Performance
NCT07183072Not specifiedRECRUITINGPatients Diagnosed With Scleroderma: Physical Performance and Functionality
NCT07292961Not specifiedRECRUITINGInvestigating the Effectiveness of the Biopsychosocial Model-Based Exercise Approach in Children and Adults Diagnosed With Scleroderma
NCT01697254Not specifiedCOMPLETEDThe CARRA Registry
NCT01799174Not specifiedCOMPLETEDTreatment Study Comparing UVA-1 Phototherapy Versus Placebo Treatment for Morphea
NCT02002897Not specifiedUNKNOWNFractional Carbon Dioxide Laser Versus UVA 1 in Treatment of Localized Scleroderma
NCT02222038Not specifiedCOMPLETEDGenetic Variants in Linear Localized Scleroderma
NCT04752397Not specifiedCOMPLETEDThe Influence of Extracorporeal Photopheresis on Skin Sclerosis
NCT04954573Not specifiedTERMINATEDStudy on the Treatment With Water-filtered Infrared-A (wIRA) Radiation in Patients With Morphea and Sclerotic Graft-versus-host Disease
NCT06621628Not specifiedCOMPLETEDPhotobiomodulation in Children With Localized Scleroderma

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
IMIQUIMOD42
CALCIPOTRIENE41
CRISABOROLE41
VELEDIMEX21