Successful treatment of a morphea plaque localised near the accessory longsaphenous vein by sclerotherapy

A 65-year-old patient with chronic venous insufficiency of a lateral tribut ary of the long saphenous vein with non-improvable chronic venous insuffici ency of the left leg was treated with sclerotherapy using NaJ (Varigloban ( R) 4%) and Polidocanol (Aethoxyethol (R) 3%). At the side of the affected a rea on the left thigh a sclerotic, deeply indurated morphea plaque (localis ed scleroderma) was present. After the successful treatment of the venous i nsufficiency by sclerotherapy the morphea plaque improved as well, and disa ppeared completely within six weeks. These observations suggest, that impro vement of local factors by sclerotherapy may also lead to an improvement of morphea. Further research is warranted to evaluate the exact mechanism by which local factors may contribute to the pathogenesis and course of morphe a.