Localized scleroderma
diseaseOn 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:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | 1-9 / 100 000 | Europe | Validated |
Signs & symptoms
Clinical features (HPO)
55 HPO clinical features (Orphanet curated; top 50 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0001072 | Thickened skin | Very frequent (80-99%) |
| HP:0002829 | Arthralgia | Frequent (30-79%) |
| HP:0011355 | Localized skin lesion | Frequent (30-79%) |
| HP:0030053 | Stiff skin | Frequent (30-79%) |
| HP:0031359 | Cutaneous sclerotic plaque | Frequent (30-79%) |
| HP:0000164 | Abnormality of the dentition | Occasional (5-29%) |
| HP:0000177 | Abnormality of upper lip | Occasional (5-29%) |
| HP:0000324 | Facial asymmetry | Occasional (5-29%) |
| HP:0000504 | Abnormality of vision | Occasional (5-29%) |
| HP:0000554 | Uveitis | Occasional (5-29%) |
| HP:0000689 | Dental malocclusion | Occasional (5-29%) |
| HP:0000953 | Hyperpigmentation of the skin | Occasional (5-29%) |
| HP:0001053 | Hypopigmented skin patches | Occasional (5-29%) |
| HP:0001369 | Arthritis | Occasional (5-29%) |
| HP:0001371 | Flexion contracture | Occasional (5-29%) |
| HP:0002020 | Gastroesophageal reflux | Occasional (5-29%) |
| HP:0002076 | Migraine | Occasional (5-29%) |
| HP:0002232 | Patchy alopecia | Occasional (5-29%) |
| HP:0002315 | Headache | Occasional (5-29%) |
| HP:0002960 | Autoimmunity | Occasional (5-29%) |
| HP:0003198 | Myopathy | Occasional (5-29%) |
| HP:0004426 | Abnormality of the cheek | Occasional (5-29%) |
| HP:0006336 | Short dental roots | Occasional (5-29%) |
| HP:0009019 | Progressive loss of facial adipose tissue | Occasional (5-29%) |
| HP:0010783 | Erythema | Occasional (5-29%) |
| HP:0011331 | Hemifacial atrophy | Occasional (5-29%) |
| HP:0011821 | Abnormality of facial skeleton | Occasional (5-29%) |
| HP:0025474 | Erythematous plaque | Occasional (5-29%) |
| HP:0033127 | Abnormality of the musculoskeletal system | Occasional (5-29%) |
| HP:0100537 | Fasciitis | Occasional (5-29%) |
| HP:0100560 | Upper limb asymmetry | Occasional (5-29%) |
| HP:0100876 | Infra-orbital crease | Occasional (5-29%) |
| HP:0100899 | Sclerosis of finger phalanx | Occasional (5-29%) |
| HP:0000077 | Abnormality of the kidney | Very rare (<1-4%) |
| HP:0000366 | Abnormality of the nose | Very rare (<1-4%) |
| HP:0000490 | Deeply set eye | Very rare (<1-4%) |
| HP:0000520 | Proptosis | Very rare (<1-4%) |
| HP:0000707 | Abnormality of the nervous system | Very rare (<1-4%) |
| HP:0000872 | Hashimoto thyroiditis | Very rare (<1-4%) |
| HP:0001045 | Vitiligo | Very rare (<1-4%) |
| HP:0001250 | Seizure | Very rare (<1-4%) |
| HP:0001297 | Stroke | Very rare (<1-4%) |
| HP:0001626 | Abnormality of the cardiovascular system | Very rare (<1-4%) |
| HP:0002086 | Abnormality of the respiratory system | Very rare (<1-4%) |
| HP:0002384 | Focal impaired awareness seizure | Very rare (<1-4%) |
| HP:0002633 | Vasculitis | Very rare (<1-4%) |
| HP:0003202 | Skeletal muscle atrophy | Very rare (<1-4%) |
| HP:0003330 | Abnormal bone structure | Very rare (<1-4%) |
| HP:0008066 | Abnormal blistering of the skin | Very rare (<1-4%) |
| HP:0011138 | Abnormality of skin adnexa morphology | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | localized scleroderma |
| Mondo ID | MONDO:0019562 |
| EFO | EFO:1001361 |
| MeSH | D012594 |
| Orphanet | 90289 |
| DOID | DOID:8472 |
| ICD-10-CM | L94.0 |
| ICD-11 | 1430740369 |
| NCIT | C72069 |
| SNOMED CT | 201048007 |
| UMLS | C0036420 |
| MedGen | 48586 |
| GARD | 0007058 |
| MedDRA | 10039712 |
| 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 disorder › rheumatic disorder › scleroderma › localized 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.
| Drug | Development status |
|---|---|
| Imiquimod | Phase 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)
| Phase | Trials |
|---|---|
| Not specified | 13 |
| PHASE2 | 3 |
| PHASE3 | 2 |
| PHASE1/PHASE2 | 2 |
| EARLY_PHASE1 | 2 |
| PHASE4 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03630198 | PHASE4 | COMPLETED | Pain Outcomes Following Intralesional Corticosteroid Injections |
| NCT00147771 | PHASE3 | COMPLETED | Imiquimod in Children With Plaque Morphea |
| NCT00230373 | PHASE3 | WITHDRAWN | Imiquimod 5% Cream in Plaque-type Morphea: A Pilot, Prospective Open-label Study |
| NCT00129428 | PHASE1/PHASE2 | COMPLETED | Ultraviolet B (UVB) Light Therapy in the Treatment of Skin Conditions With Altered Dermal Matrix |
| NCT00479934 | PHASE2 | COMPLETED | Efficacy and Safety of Imatinib in Scleroderma |
| NCT03351114 | PHASE2 | COMPLETED | Pilot Study Evaluating the Efficacy of a Topical PDE4 Inhibitor for Morphea |
| NCT03740724 | PHASE1/PHASE2 | TERMINATED | A Study of FCX-013 Plus Veledimex for the Treatment of Moderate to Severe Localized Scleroderma (Morphea) |
| NCT04200755 | PHASE2 | COMPLETED | Clinical Trial to Evaluate Efficacy and Safety of Dupilumab in Localized Scleroderma |
| NCT02411643 | EARLY_PHASE1 | TERMINATED | Molecular Effects of Topical Calcipotriene on Morphea |
| NCT04656704 | EARLY_PHASE1 | WITHDRAWN | Hyaluronidase in Treating Oral Microstomia in Patients With Sclerosing Skin Disease |
| NCT01808937 | Not specified | RECRUITING | Morphea in Adults and Children (MAC) Cohort Study: A Morphea Registry and DNA Repository |
| NCT04922736 | Not specified | ACTIVE_NOT_RECRUITING | Patient Reported Outcomes With UVA-1 Therapy for Treatment of Sclerosing Skin Diseases |
| NCT06646146 | Not specified | NOT_YET_RECRUITING | Study on the Efficacy of Autologous Fat Grafting in Improving Hair Transplantation Outcomes for Patients With Localized Scleroderma-Related Alopecia |
| NCT07182981 | Not specified | RECRUITING | Patients Diagnosed With Scleroderma and Their Chewing and Swallowing Performance |
| NCT07183072 | Not specified | RECRUITING | Patients Diagnosed With Scleroderma: Physical Performance and Functionality |
| NCT07292961 | Not specified | RECRUITING | Investigating the Effectiveness of the Biopsychosocial Model-Based Exercise Approach in Children and Adults Diagnosed With Scleroderma |
| NCT01697254 | Not specified | COMPLETED | The CARRA Registry |
| NCT01799174 | Not specified | COMPLETED | Treatment Study Comparing UVA-1 Phototherapy Versus Placebo Treatment for Morphea |
| NCT02002897 | Not specified | UNKNOWN | Fractional Carbon Dioxide Laser Versus UVA 1 in Treatment of Localized Scleroderma |
| NCT02222038 | Not specified | COMPLETED | Genetic Variants in Linear Localized Scleroderma |
| NCT04752397 | Not specified | COMPLETED | The Influence of Extracorporeal Photopheresis on Skin Sclerosis |
| NCT04954573 | Not specified | TERMINATED | Study on the Treatment With Water-filtered Infrared-A (wIRA) Radiation in Patients With Morphea and Sclerotic Graft-versus-host Disease |
| NCT06621628 | Not specified | COMPLETED | Photobiomodulation in Children With Localized Scleroderma |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| IMIQUIMOD | 4 | 2 |
| CALCIPOTRIENE | 4 | 1 |
| CRISABOROLE | 4 | 1 |
| VELEDIMEX | 2 | 1 |
Related Atlas pages
- Drugs: Imiquimod, Calcipotriene, Crisaborole